儿童膀胱输尿管反流合并泌尿系统感染诊治进展  

Progress in diagnosis and treatment of vesicoureteral reflux combined with urinary tract infection in children

作　　者：陈慧敏 张高福[1] Chen Huimin;Zhang Gaofu(Department of Nephrology,Children's Hospital of Chongqing Medical University,National Children's Health and Disease Clinical Research Center,Key Laboratory of Child Developmental Disease Research,Ministry of Education,Key Laboratory of Pediatrics of Chongqing Municipality,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院肾内科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆400014

出　　处：《中华实用儿科临床杂志》2025年第4期313-316,共4页Chinese Journal of Applied Clinical Pediatrics

基　　金：重庆市科学技术局(自然科学基金面上项目,cstc2020jcyj-msxmX0273);重庆市研究生教育教学改革研究项目(yjg213057);重庆医科大学校级研究生教育教学改革研究项目(xyjg210111)。

摘　　要：膀胱输尿管反流是儿童泌尿系统感染的最常见原因,泌尿系统感染的迁延不愈最终可导致反流性肾病。因膀胱输尿管反流存在自发消退的可能,这类患者的管理应专注于预防泌尿系统感染而不是仅仅解决反流,总体目标是通过使用最小的侵入性手段来防止泌尿系统感染和肾脏瘢痕,以最大限度地保留肾功能。现对儿童膀胱输尿管反流合并泌尿系统感染的诊治进展进行梳理与分析,以供临床及科研工作者参考。Vesicoureteral reflux is the most common cause of urinary tract infection in children,and protracted urinary tract infection can eventually lead to reflux nephropathy.Because there is a possibility of spontaneous resolution of vesicoureteral reflux,management of such patients should focus on preventing urinary tract infection rather than just addressing reflux,with the overall goal of maximizing renal preservation by using minimally invasive means to prevent urinary tract infection and renal scarring.In this paper,the progress in the diagnosis and treatment of vesicoureteral reflux combined with urinary tract infection in children was collated and analyzed for the reference of clinical and scientific researchers.

关 键 词：儿童 膀胱输尿管反流 泌尿系统感染 

分 类 号：R726.9[医药卫生—儿科]