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Vessel-sparing Excision and Primary Anastomosis
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膀管道逆流的成像: 专家小组叙述审查
Stephanie C Cajigas-Loyola1, Jeanne S Chow2, Shireen Hayatghaibi3
1Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104.
AJR. American journal of roentgenology
|September 6, 2023
概括
膀回流 (VUR) 是一种常见的尿路异常. 识别哪些患者需要用于VUR诊断和管理的成像是预防脏损伤和避免过度诊断的关键.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 诊断成像 诊断成像 诊断成像
- 腎臟醫學 腎臟醫學
背景情况:
- 膀回流 (VUR) 是一种常见的先天性尿路异常.
- 它可能导致脏痕,需要手术干预,但也可能自发消失.
- 准确的诊断是适当管理的关键,并防止像炎症这样的并发症.
研究的目的:
- 审查目前关于VUR诊断和管理的知识.
- 为了比较VUR不同成像模式的优缺点.
- 突出了对比度增强的排空泌尿声学 (ceVUS) 作为一个有前途的诊断工具.
主要方法:
- 审查关于VUR诊断和管理的当前文献.
- 关于成像技术的讨论:空白囊回形图 (VCUG),放射性核素囊图 (RCG) 和增强对比度的空白泌尿声学 (ceVUS).
- 对指示的分析,患者准备,检查行为,报告和成本效益.
主要成果:
- 诊断VUR需要仔细选择患者,以平衡查需求,避免过度诊断.
- 存在多种成像模式,每个都有特定的优势和局限性.
- 由于其好处,CeVUS越来越受儿科放射科医生的青.
结论:
- 最佳的VUR管理取决于准确的诊断和适当的成像选择.
- ceVUS为VUR评估提供了一个有价值的,无辐射的选择.
- 需要对ceVUS协议进行进一步的研究和标准化.
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