在清除囊回路图时超过估计的膀容量是否有害?
Robert M DeFlorio1, Monica S Epelman2, Kimberly Christnacht3
1Department of Radiology, Nemours Children's Health, Jacksonville, FL, 32207, USA.
The British journal of radiology
|December 2, 2025
概括
目前的指导方针往往低估了儿童的膀容量在清空囊尿路图 (VCUG). 超过这些估计值似乎是安全的,在本研究中没有观察到任何不良影响.
科学领域:
- 儿科放射学 儿科放射学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 儿科膀容量估计对于消除囊回形图 (VCUG) 程序至关重要.
- 现有的公式,如美国儿科学会 (AAP) 的公式,用于确定预期的膀体积.
- 在VCUG期间的过度食可能会导致并发症,需要遵守既定指南.
研究的目的:
- 为了比较VCUG期间的实际膀容量与儿童的配方衍生估计.
- 评估VCUG程序期间膀过度扩张的安全性.
主要方法:
- 在三年内对884次连续的VCUG程序进行了回顾性审查.
- 排除影响膀容量的病例 (例如,神经性膀,膀回流).
- 在440个正常VCUG程序中分析膀体积.
主要成果:
- 膀体积超过了AAP/美国放射学学院在65%的VCUG估计.
- 在2岁以下的儿童中,63%的VCUG和在2至14岁的儿童中68%的VCUG发生过度消耗.
- 即使对比度超过AAP估计的2倍或3倍时,也没有发现任何不良影响.
结论:
- 目前的指导方针经常低估了儿科膀容量.
- 在VCUG期间超过已确定的膀容量估计似乎是安全的,没有并发症.
- 这些发现表明,可能需要修订目前关于儿童膀体积估计的指南.
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