Dimercaptosuccinic Acid Renal Scan in Children with Urinary Tract Infection

Dimercaptosuccinic Acid Renal Scan 於尿路感染兒童之應用

蔡淳娟(Tsuen-Chiuan Tsai) ； 黃富源(Fu-Yuan Huang) ； 楊政道(Cheng-Tao Yang) ； 施並富(Bing-Fu Shih)

《Acta Paediatrica Sinica》 37卷2期 (1996/04) Pp. 111-114

https://doi.org/10.7097/APS.199604.0111

摘要

於尿路感染病童分別出上尿路或下尿路感染，在治療及預後追蹤有其重要意義，Dimercaptosuccinic Acid(DMSA)renal scan是目前診斷急性腎盂腎炎最可靠的工具。本文收集本院自1991年10月1993年10月間，共247個16歲以下罹患尿路感染之兒童病例，他們均於急性期接受DMSA renal scan檢查，其中163例（佔163/247,66%），合計207個腎臟(207/494,41.9%)有異常的DMSA scan表現，若分析其異常率與臨床表現之相關性，患者合併有發燒或輸尿管內尿逆流者，有明顯較高之發生率，然而年齡與性別之因素，並不影響上尿路發炎的出現率。因爲DMSA renal scan有異常表現之機率如此高，我們建議所有出現高燒，及有輸尿管內尿逆流病史之尿路感染病童，均應接受DMSA renal scan之檢查，才能給予足夠之抗生素治療，而避免産生腎臟結痂、高血壓及腎臟機能損傷等後遺症。

關鍵字

泌尿道感染 ； 急性腎盂腎炎 ； DMSA腎臟核醫掃描

並列摘要

The hospital records of 247 children less than 16 years old, who had had UTI and received dimercaptosuccinic acid (DMSA) renal scans during the period October 1991 to October 1993, were reviewed. Abnormal DMSA renal scans were found in 207 kidneys (207/494, 41.9%) and in 163 cases (163/247, 66%). The appearance of an abnormal DMSA renal scan is correlated with fever and vesicoureteral reflux, but not with age or sex. Because the prevalence of upper UTI in children is high, DMSA renal scan is undoubtedly a valuable tool for pediatricians as a guide in giving appropriate antibiotic therapy and to prevent further renal damage.

並列關鍵字

urinary tract infection ； acute pyelonephritis ； renal scarring