逆行排尿造影筛查儿童膀胱输尿管反流的诊断价值

摘要

目的 探讨逆行排尿造影筛查儿童膀胱输尿管反流的诊断价值.方法 选择2010年7月至2011年12月在我院接受治疗的尿路感染儿童90例,所有患儿刚入院行USG检查,尿路感染控制1周后行MCU检查,对比两种方法的检出率.结果 USG检查发现VUR患儿30例(33.33％),MCU检查发现VUR患儿43例(47.78％).结论 MCU早期诊断VUR,检出率高,能有效避免肾疤痕的形成,直接影响患儿疾病的预后和转归.%Objective To discuss the diagnostic value of micturition cystourethrography (MCU) to check screening for vesicoureteral reflux (VUR) in children.Methods 90 cases of urinary tract infection (UTI) children who received treatment in our hospital from July 2010 to December 2011 were selected and applied for examination using both uhrasonography (USG) and MCU methods.All patients received USG to examine upon arrival at the hospital,and were examined by MCU after one week' s control treatment of UTI.Then the detection rates of both methods were compared.Results There were 30 cases (33.33％) of VUR after examination by USG and there were 43 cases (47.78％) of VUR after examination by MCU.The detection rate of MCU was obviously higher than that of USG.The comparison was quite obvious (P＜ 0.05).Conclusion Using MCU to diagnose VUR in early period could lead to high detection rate,effectively avoiding renal scars and directly influencing the prognosis and outcome of patients diseases.