Zerrin ORBAK, Yaşar CEYLAN, Handan ALP, Cahit KARAKELLEOĞLU, Levent ÜNLÜ

Radiologic evaluation of children with upper urinary tract infection

Bu çalışmanın amacı üst üriner sistem enfeksiyonlarını değerlendirmede radyolojik yaklaşımı belirlemek ve erken renal kortikal defekt gelişiminde etkili olan risk faktörlerini tespit etmektir. Kortikal sintigrafi, ultrasonografi (US), ve intravenöz pyelografi (İVP) ile sırasıyla çocukların %48.5'i, %34.7'si ve %14.3'ünde renal değişiklik saptandı (p

Üst üriner sistem enfeksiyonlu çocukların radyolojik değerlendirilmesi

The purpose of this prospective study was to investigate the most relevant radiological approach for the evaluation and to determine risk factors in the development of early renal cortical defects in 103 patients with upper urinary tract infection. Cortical scintigraphy, ultrasonography (US) and intravenous pyelography (IVU) showed renal changes in 48.5%, 34.7% and 14,3% of children, respectively (pO.001). For the diagnosis of renal parenchymal inflammation, the sensitivity of US according to the scintigraphy was 67.3% and the sensitivity of IVU according to the scintigraphy was 23.6%. Children more than 5 year of age had lower incidence of renal lesions than did younger children (pO.05). The presence of fever and inflammatory signs (C-reactive protein, erythrocyte sedimentation rate, white blood cell count) had a 58.1%, 48.2%, 22.1% and 22.7% sensitivity in identifying renal lesions. No association with sex or infective organism was established, Among 103 patients vesicoureteric reflux was present in 12.2%. An association between a cortical defect and the presence of VUR was determined (p

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