Urology Mythbusters: should hydronephrosis grade be used to decide which newborns should undergo voiding cystourethrogram?

被引:2
作者
Kurtz, Michael P. [1 ,2 ]
Nelson, Caleb P. [1 ,2 ]
机构
[1] Boston Childrens Hosp, Boston, MA USA
[2] Harvard Med Sch, Boston, MA 02115 USA
关键词
URINARY-TRACT-INFECTION; POSTERIOR URETHRAL VALVES; URETEROPELVIC JUNCTION OBSTRUCTION; VESICOURETERAL REFLUX; RISK-FACTORS; PRENATAL HYDRONEPHROSIS; CHILDREN; ULTRASONOGRAPHY; INFANTS;
D O I
10.1016/j.jpurol.2018.10.005
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In this episode of Mythbusters the premise that among infants with prenatally identified urinary tract dilation (UTD), voiding cystourethrogram (VCUG) should be performed in those with higher grade UTD but not in those with lower grade UTD is critically examined. It is concluded that severity of dilation is not strongly associated with risk of vesicoureteral reflux or other anomalies diagnosed by VCUG. Therefore, using hydronephrosis grade to decide which infants with UTD should undergo VCUG is not evidence based.
引用
收藏
页码:93 / 96
页数:4
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