患有发烧性尿路感染的儿童脏痕
Arife Uslu Gökceoğlu1, Nesrin Taş2
1Alanya Alaaddin Keykubat University, Faculty of Medicine, Department of Pediatric Nephrology, Antalya, Türkiye.
Jornal de pediatria
|January 6, 2025
概括
16.9%的患有发烧性尿路感染 (fUTI) 的儿童表现出脏痕. 复发性感染和脏膀超声波 (RBUS) 上的膀异常发现与较高的痕率相关.
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
- 传染性疾病 传染性疾病
背景情况:
- 发烧性尿路感染 (fUTI) 在儿童中很常见.
- 脏痕可能是FUTI的结果,可能导致长期并发症.
- 早期发现脏痕的危险因素至关重要.
研究的目的:
- 评估被诊断患有fUTI的儿童的特征.
- 分析这些儿童的膀超声波 (RBUS) 和晚期二聚氨酸 (DMSA) 扫描结果.
- 为了确定患者特征,成像结果和脏痕之间的关联.
主要方法:
- 对RBUS和DMSA报告对患有FUTI的儿童进行回顾性分析.
- 收集的数据包括年龄,性别,fUTI发作的次数,便秘和膀外流 (VUR).
- 进行了统计分析,以根据各种因素比较脏痕率.
主要成果:
- 包括160名患有fUTI的儿童;86.3%是女孩,73.1%超过60个月.
- 脏痕在16.9%的儿童中存在,在不同年龄和性别群体的比例相似.
- 复发性fUTI (26.4%) 和异常RBUS发现 (通道,膀厚壁) 与较高的脏痕率相关 (分别为p=0.04和p=0.03).
结论:
- 16.9%的患有fUTI的儿童在DMSA扫描上表现出脏痕.
- 脏痕率在不同年龄和性别的人口统计学方面是一致的.
- 患有复发性fUTI或在RBUS上呈现出异常膀壁特征的儿童显示脏痕的可能性明显更高.
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