兒童期泌尿道感染之探討放射線及超音波檢查

Evaluation of Childhood Urinary Tract Infection: Results of Radiological and Ultrasonography Studies

蔡淳娟(Tsuen-Chiuan Tsai) ； 黃富源(Fu-Yuan Huang) ； 李宏昌(Hung-Chang Lee) ； 林金龍(Chin-Long Lin)

《Acta Paediatrica Sinica》 28卷1期 (1987/02) Pp. 17-20

摘要

為了解泌尿道感染兒童合併泌尿道異常之情形，本研究收集了180位確定診斷為泌尿道感染之兒童，於治療完成後，接受voiding cystourethrography (VCUG)及intravenous pyelography (IVP)或腎臟超音波檢查者。結果有泌尿道異常者78例(43.3%)，其中以膀胱輸尿管逆流最多，計67例(37.2%)，膀胱輸尿管接合處狹窄者5例(2.8%)，輸尿管腎盂接合處狹窄者3例(1.7%)，雙重輸尿管3例(1.7%)。比較VCUG, IVP及腎臟超音波之診斷率，發現VCUG之敏感度為98.7%，準確度為100%，IVP之敏感度為42.6%，準確度為98.4%，腎臟超音波檢查之敏感度為56.3%，準確度為93.8%。我們發現以腎臟超音波檢查取代IVP是很理想的方法，並且提早做VCUG檢查其可信度仍很高。

並列摘要

Voiding cystourethrography (VCUG), intravenous pyelography (IVP), and/or renal sonography were performed in 180 children with urinary tract infections. Underlying genitourinary tract anomalies were found in 78 patients (43.3%), including vesico-ureteric reflux in 67 patients (37.2%), ureteropelvic junction stenosis in 3 patients (1.7%), vesicoureteric junction stenosis in 5 patients (2.8%), double ureter in 3 patiepts (1.7%). Comparing the results of VCUG, IVP and sonography demonstrated that sensitivity and specificity were 87.7% and 100% respectively by VCUG, 42.6% and 98.4% by IVP, 563% and 93.8% by sonogram. The detection rate of sonography was similar to that of IVP. It is therefore suggested that children with documented urinary tract infections should be investigated using the non- invasive techniques of VCUG and sonography. If sonography reveals any abnormalities, IVP should be performed subsequently.

並列關鍵字

Urinary tract infection ； intravenous pyelography ； voiding cystourethrography ； renal ultrasonography