| 王军屏,王晓曼,杨斌,等.膀胱腔增强超声造影对小儿膀胱输尿管反流严重程度的判定价值及对手术指导意义[J].安徽医药,2023,27(8):1629-1633. |
| 膀胱腔增强超声造影对小儿膀胱输尿管反流严重程度的判定价值及对手术指导意义 |
| Value of contrast-enhanced bladder cavity contrast-enhanced ultrasonography in judging the severity of vesicoureteral reflux in children and its significance for surgical guidance |
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| DOI：10.3969/j.issn.1009-6469.2023.08.030 |
| 中文关键词: 膀胱输尿管反流 膀胱腔增强超声造影 排泄性膀胱尿路造影 儿童 |
| 英文关键词: Vesico-ureteral reflux Contrast-enhanced ultrasonography of bladder lumen Voiding cystourethrography Children |
| 基金项目:保定市科技计划项目( 1951ZF081) |
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| 中文摘要: |
| 目的探讨膀胱腔增强超声造影对小儿膀胱输尿管反流(VUR)严重程度的判定价值及对手术指导意义。方法选取保定市儿童医院 2018年 1月至 2021年 4月小儿尿路感染病儿 82例作为研究对象，均行膀胱腔增强超声造影检查，以排泄性膀胱尿路造影( VCUG)为金标准，分析膀胱腔增强超声造影对小儿 VUR及其严重程度的诊断价值，并分析膀胱腔增强超声造影与 VCUG检查对手术效果的评价一致性。结果 82例尿路感染病儿，共 151个肾输尿管单位(PUUs)，VCUG确诊 59个 PUUs为 VUR；膀胱腔增强超声造影检出 57个 PUUs阳性； ROC曲线分析，膀胱腔增强超声造影诊断 VUR的 AUC为 0.98；经一致性分析，膀胱腔增强超声造影与 VCUG检查诊断小儿 VUR严重程度一致性极高； 42个 PUUs的 VUR严重程度达 Ⅲ度及以上，术后 6个月 VCUG评估缓解率为 95.24%；膀胱腔增强超声造影评估缓解率为 95.24%，一致性分析，膀胱腔增强超声造影与 VCUG检查对手术效果的评价一致性极高。结论膀胱腔增强超声造影在小儿 VUR及其严重程度中具有较高诊断价值，还能较为可靠地评价手术效果，可作为疾病诊断、病情判定、术前指导及术后疗效评估的重要手段。 |
| 英文摘要: |
| Objective To investigate the value of contrast-enhanced ultrasonography of the bladder cavity in judging the severity ofvesicoureteral reflux (VUR) in children and its significance for surgical guidance.Methods A total of 82 children with urinary tract infection in the Children Hospital of Baoding from January 2018 to April 2021 were selected as the research subjects. All of them underwent contrast-enhanced ultrasonography of the bladder cavity. Taking voiding cystourethrography (VCUG) as the gold standard, the diagnostic value of contrast-enhanced endoscopic ultrasonography in children with VUR and its severity , and the consistency of contrast-enhanced ultrasonography of bladder and VCUG in evaluating the surgical effect were analyzed.Results There were 151 renal ureter al units (PUUs) in 82 children with urinary tract infection, 59 PUUs were diagnosed as VUR by VCUG; 57 PUUs were positive by contrast-enhanced bladder ultrasonography; ROC curve analysis showed that VUR was diagnosed by contrast-enhanced bladder ultrasonog raphy, the AUC was 0.98; the consistency analysis showed that the contrast-enhanced bladder cavity and VCUG examinations werevery consistent in the diagnosis of the severity of VUR in children; the VUR severity of 42 PUUs was grade Ⅲ or above, and the assessment of remission rate was 95.24% by VCUG at 6 months after surgery, the assessment of remission rate was 95.24% by contrast-en hanced bladder cavity contrast-enhanced ultrasonography. Consistency analysis showed that contrast-enhanced contrast-enhanced ultra sonography of the bladder cavity and VCUG examination had extremely high consistency in evaluating the surgical effect.Conclusion Contrast-enhanced bladder cavity ultrasonography has high diagnostic value in children with VUR and its severity, and can more reliably evaluate the effect of surgery, which can be used as an important means for disease diagnosis, condition determination, preoperative guidance and postoperative efficacy evaluation. |
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