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- Vesicoureteral Reflux in Hospitalized Children with Urinary Tract Infection: The Clinical Value of Pelvic Ectasia on Renal Ultrasound, Inflammatory Responses and Demographic Data
- 探討排尿性膀胱輸尿管攝影與小兒腎臟超音波對膀胱輸尿管逆流診斷之準確性
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題 名 | Vesicoureteral Reflux in Hospitalized Children with Urinary Tract Infection: The Clinical Value of Pelvic Ectasia on Renal Ultrasound, Inflammatory Responses and Demographic Data=對泌尿道感染的住院孩童以腎臟超音波之腎盂擴張及其他臨床指標預測膀胱輸尿管逆流 |
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作 者 | 蔡宜展; 許志怡; 林季珍; 王超然; 鄭積慧; 黃煜旋; 顏盟修; 夏紹軒; 顏大欽; | 書刊名 | 長庚醫學 |
卷 期 | 27:6 2004.06[民93.06] |
頁 次 | 頁436-442 |
分類號 | 415.845 |
關鍵詞 | 腎臟超音波; 膀胱輸尿管逆流; 排尿膀胱尿道攝影; Vesicoureteral reflux; Renal ultrasound; Voiding cystourethrogram; |
語 文 | 英文(English) |
中文摘要 | 背景:本研究之目的在於評估因泌尿道感染而住院之病童,探討其腎臟超音波是否能有效地預測膀胱輸尿逆流,並探討相關緎的臨床指標,和膀胱輸尿管逆流之間的關係。 方法:本研究以回溯性的方法收集在一年期間,年齡在1個月至5歲之間,因第一次泌尿道感染而住院之病童,探應其臨床相關資料、腎臟超音波下腎盂的大小,和膀胱輸尿管逆流之間的關係。 結果:總共114個病人,228個腎臟符點研究條件。腎臟超音波下腎盂的大小大於8毫米者,分吸有2.4倍(p=0.049, 95% CI: 1.0-5.9)和3.7倍(p=0.025, 95% CI: 1.2-11.3)的危險性會有膀胱輸尿管逆流和嚴重性膀胱輸尿管逆流的發生,其中針對嚴重性膀胱輸尿管逆流的敏感度為27.8%,特異性為90.5%,陽性預測值為20.0%,陰性預測值為93.6%。兩側腎盂大小相加的和大於16毫米者,同樣有較高的危性會有膀胱輸尿管逆流和嚴重性膀胱輸尿管逆流的發生。年齡、性別、急性腎盂腎炎、臨床檢驗值中的發炎指數、尿液及血液中白血球的數目,和膀胱輸尿管逆流的發生率並無明確的相關性。 結論:在腎臟超音波檢查顯示腎盂大於8毫米或兩側腎盂牽對相加的和大於16毫米者,其發生膀胱輸尿管逆流的危險性較大,尤其是嚴重性膀胱輸尿管逆流。相反的如果腎盂小於8毫米或兩側腎盂相加的和小於16毫米者,其發生嚴重性膀胱輸尿管逆流的可能性則低於百分之十。然而,腎臟超音波仍無法精確地診斷所有程度的膀胱輸尿管逆流。因此針對泌尿道感染而住院之病童,仍需接受排尿膀胱尿道攝影來早期診斷膀胱輸尿管逆流。 |
英文摘要 | Backgound: The aims of this study were to determine whether renal pelvis dilation on ultrasound was reliable in predicting vesicoureteral reflux(VUR) and to assess the relationship of other clinical information of VUR in children with urinary tract infection (UTI). Methods: We retrospectively reviewed clinical data, renal echo, and voiding cystourethrogram (VCUG) results in hospitalized children with their firs tepisode of UTI, aged form 1 month to 5 years, during a 1-year period. Results: There were 114 children with 228 kidneys eligible for the study. Unilateral pelvis size greater than 8 mm had 2.4 (p=0.049, 95% CI: 1.0-5.9) and 3.7 (p=0.025, 95% CI: 1.2-11.3) times greater risk for VUR and severe reflux, respectively. The sensitivity in detecting severe reflux was 27.8%, and the specificity was 90.5%. the positive and negative predictive values in suggesting severe VUR were 20.0% and 93.6%, respectively. The sum of bilateral pelvis sizes greater than 16 mm had higher risk for VUR and severe reflux (4.1 and 4.6 times) and similar specificity and negative predictive value for severe reflux. Age, gender, C-reactive protein, leukocytosis, pyuria and acute pyelonephritis did not show significant relationships to the reflex. Conclusions: Unilateral pelvis size greater than 8 mm or the sum of the bilateral pelvis sizes greater than 16 mm was associated with VUR, especially severe VUR. The possibility of severe reflux was lower ethan 10% when the reverse critieria were applied. However, the dilation of the renal pelvis did not predict all VUR precisely. We concluded that VCUG should still be performed in hospitalized children with UTI. |
本系統中英文摘要資訊取自各篇刊載內容。