排泄性尿路超声造影对成人膀胱输尿管反流的诊断价值研究  

Study on the diagnostic value of contrast-enhanced ultrasound for vesicoureteral reflux in adults

作　　者：喻备[1] 黄媛[2] 张汉超[1] YU Bei;Huang Yuan;ZHANG Han-chao(Department of Urology,The Affiliated Hospital of Chengdu University,Chengdu 610081,China;Department of Ultrasound,The Affiliated Hospital of Chengdu University,Chengdu 610081,China)

机构地区：[1]成都大学附属医院泌尿外科,四川成都610081 [2]成都大学附属医院超声科,四川成都610081

出　　处：《实用医院临床杂志》2024年第5期66-70,共5页Practical Journal of Clinical Medicine

基　　金：国家自然科学基金青年科学基金资助项目(编号:YJ2017-013-01)。

摘　　要：目的比较排泄性尿路超声造影(CeVUS)和排泄性X射线尿路膀胱造影(VCUG)应用于成人膀胱输尿管反流(VUR)的诊断价值。方法回顾性分析2018年1月至2020年12月在我院诊断为神经源性膀胱的成人患者56例,均对其进行CeVUS检查,以VCUG检查作为标准对照,对比观察两种不同检查方式的诊断结果及患者满意度。结果CeVUS检出膀胱输尿管反流21例,检出阳性率为37.5%,VCUG检出膀胱输尿管反流20例,检出阳性率为35.7%。CeVUS和VCUG检测VUR的敏感性和特异性分别为93.3%和96.5%、98.8%和97.6%。患者满意度调查结果显示92.9%(52/56)患者倾向于CeVUS,80.4%(45/56)患者倾向于VCUG。结论CeVUS对检测和分级成人膀胱输尿管反流具有一定的诊断意义,且安全、无放射性,患者满意度高,可作为膀胱输尿管反流的筛查手段以及随访工具。Objective To compare the diagnostic value of contrast-enhanced voiding urosonography(CeVUS)with voiding cystourethrography(VCUG)in adults with vesicoureteral reflux(VUR).Methods A retrospective analysis of 56 adult patients who were diagnosed with neurogenic bladder and treated in our hospital from January 2018 to December 2020 was performed.CeVUS examination was performed on all patients.VCUG examination was used as a standard control to compare and observe the diagnostic results and patient satisfaction between the two different examination methods.Results CeVUS detected vesicoureteral reflux in 21 cases,with a positive rate of 37.5%.VCUG detected vesicoureteral reflux in 20 cases,with a positive rate of 35.7%.The sensitivity of CeVUS and VCUG in detecting VUR was 93.3%and 96.5%,respectively.The specificity of the two methods was 98.8%and 97.6%.Patient satisfaction survey results showed that 92.9%(52/56)of patients were predisposed to CeVUS compared with 80.4%(45/56)of patients preferred VCUG.Conclusions CeVUS has certain diagnostic significance for detecting and grading vesicoureteral reflux in adults.It is safe and non-radioactive.It can be used as a screening method and a follow-up tool for vesicoureteral reflux.

关 键 词：膀胱输尿管反流 超声造影 排泄性X射线尿路膀胱造影 

分 类 号：R445.1[医药卫生—影像医学与核医学] R693[医药卫生—诊断学] R694[医药卫生—临床医学]