新生儿尿道的超声波查
J E Scott1, R E Lee, E W Hunter
1Department of Surgery, Medical School, University of Newcastle upon Tyne, UK.
Lancet (London, England)
|December 21, 1991
概括
新生儿脏的常规超声波查对于检测尿道逆流是无效的. 许多患有水性或反流的婴儿在最初的扫描中只有轻微的扩张,这使得早期检测变得困难.
科学领域:
- 儿科脏病学 儿科脏病学
- 诊断成像 诊断成像 诊断成像
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尿路逆流可以导致脏损伤 (逆流脏病).
- 早期,非侵入性查新生儿尿路异常是理想的.
- 超声波是婴儿脏的常见非侵入性成像技术.
研究的目的:
- 为了评估新生儿超声波在查尿道逆流的敏感性.
- 为了确定日常脏超声波在识别新生儿先天性脏疾病的有效性.
主要方法:
- 1061名未经选择的新生儿接受了脏超声波检查,结果被录制成视频.
- 具有扩张收集系统的婴儿接受了进一步的调查 (MCUG,IVU或放射性同位素研究).
- 在3岁时进行了后续调查和记录搜索.
主要成果:
- 11名儿童患有脏疾病,通过进一步的调查检测到.
- 在尿路感染后发现了3名额外的尿路反流儿童,新生儿扫描正常.
- 超过一半的患有水性或尿路反流的儿童在新生儿超声波上仅显示微小 (<5毫米) 的扩张.
结论:
- 常规的新生儿脏超声波对于检测尿路反流并不有价值.
- 通过例行新生儿超声波检测显著脏异常的收益率很低.
- 超声波对于检测新生儿细微的尿路问题的灵敏度有限.
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