Vesicoureteral Reflux and Urinary Tract Infection: Evolving Practices and Current Controversies in Pediatric Imaging

被引：64
作者：
Lim, Ruth [1 ,2 ,3 ]
机构：
[1] Massachusetts Gen Hosp, Dept Radiol, Div Nucl Med Mol Imaging, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Radiol, Div Pediat Radiol, Boston, MA 02114 USA
[3] Harvard Univ, Sch Med, Boston, MA 02114 USA
来源：
AMERICAN JOURNAL OF ROENTGENOLOGY | 2009年 / 192卷 / 05期
关键词：
pediatric imaging; radionuclide cystography; renal cortical scintigraphy; ultrasound; urinary tract infection; vesicoureteral reflux; voiding cystourethrography; INDIRECT RADIONUCLIDE CYSTOGRAPHY; DIMERCAPTOSUCCINIC ACID SCINTIGRAPHY; RENAL CORTICAL SCINTIGRAPHY; ACUTE PYELONEPHRITIS; VOIDING CYSTOURETHROGRAPHY; ANTIBIOTIC-PROPHYLAXIS; ASYMPTOMATIC SIBLINGS; PLANAR PINHOLE; ORAL MIDAZOLAM; YOUNG-CHILDREN;
D O I：
10.2214/AJR.08.2187
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
OBJECTIVE. Pediatric patients with urinary tract infection ( UTI) undergo imaging tests to detect vesicoureteral reflux (VUR) in the belief that VUR correlates to risk of renal scarring. This article describes recent evolution and controversies in the management of UTI and VUR. CONCLUSION. Multitechnique imaging of UTI and VUR is complex and controversial. Evolution in practice patterns is motivated by the desire to rationally minimize unnecessary interventions and radiation exposure. Ongoing evidence-based research is needed to further improve practice guidelines.
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收藏
页码：1197 / 1208
页数：12
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