چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| اسماعیل قره پاپاق | اول |
| اشرف فخاری | دوم |
| شهرام دبیری اسکوئی | سوم |
| فریبا آریانپور | چهارم |
| عنوان | متن |
|---|---|
| کلمات کلیدی | |
| خلاصه مقاله | Evaluating of vesicoureteral reflux incidence and grading by direct radionuclide cystography method in referred patients to N.M center of Imam Reza Hospital E.Gharepapagh,MD1, A.fakhari,PhD1, Sh,Dabiri,MD1, F.Aryanpour,MD2 1Dept. of Radiology,division of Nuclear Medicine,Tabriz University of Medical Sciences 2General physician *esmaeil.gharepapagh@gmail.com BACKGROUND: urinary tract infections (UTI) are one of the most common infections in children. Vesico ureteral reflux(VUR) is a major risk factor for recurrent UTIs which can result in renal scarring. OBJECTIVE: The diagnostic tests that are being used to detect VUR include voiding cystoureterography(VCUG) and direct radionuclide cystography(DRNC). The sensitivity of each modality is controversial. The aim of this study was to evaluating of VUR incidence an grading by DRNC method in referred patients to N.M center of Imam Reza Hospital. METHODS: Patients referred to by their respective physicians underwent DRNC scan with 99mTc radiotracer. At the filling,post filling and voiding phases of the bladder, ureter and kidneys,dynamic imaging was performed and interpretated by a specialist physician regarding normal and abnormal study and also its grading in positive cases(presence of VUR). RESULTS: the prevalence of VUR was 29% among 300 patients . Most cases of VUR were one-sided (63.6%) and significantly (42%) were higher in left side (p=0.022). the most common type of engagement gradient in one-way cases was related to Grade B,and in bilateral cases related to Grade C. The highest number of VUR in the age group of under 1 year was observed with frequency of 30 (10%) and then 1 to 4 years and 5 to 8 years each with frequency of 26(8.67%),observed in the VUR outbreak(p=0.198). CONCLUSION: It can be deduced that having repeated tests of DRNC or VCUG can detect missed VUR in patients with recurrent UTIs. Furthermore,DRNC study is most valuable than VCUG. KEYWORDS: Vesicoureteral reflux,Direct radionuclide cystography,Voiding cystography REFERENCES: 1. Weissleder R, Wittenberg J, Harisinghani MG, and et al. (1997). Primer of diagnostic imaging: Mosby St Louis, Mo. 2. Dähnert W. (2011). Radiology review manual: Lippincott Williams & Wilkins. 3. Zamir G, Sakran W, Horowitz Y, and et al. (2004). Urinary tract infection: is there a need for routine renal ultrasonography? Archives of disease in childhood, 89(5), 466-8. 4. Roberts KB. (2011). Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics, 128(3), 595-610. 5. Shaikh N, Craig JC, Rovers MM, and et al. (2014). Identification of children and adolescents at risk for renal scarring after a first urinary tract infection: a meta-analysis with individual patient data. JAMA pediatrics, 168(10), 893-900. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Evaluating of vesicoureteral reflux incidence and grading by direct radionuclide cystography method in referred patients to N (1).docx | 1398/10/23 | 15869 | دانلود |
| Scan1.jpg | 1398/10/23 | 312292 | دانلود |
