Evaluation of the clinical and imaging examination in high-risk children with vesicoureteral reflux

• Published in: Zhonghua er ke za zhi Vol. 49; no. 4; p. 282
• Main Authors: Ji, Li-Na, Cao, Li, Chen, Da-Kun, Cui, Yan-Chun, Zhang, Yu-Lin, Ye, Hui, Hao, Chun-Sheng, Yuan, Xin-Yu
• Format: Journal Article
• Language: Chinese
• Published: China 01.04.2011
• Subjects: Child; Child, Preschool; Diagnostic Imaging; Female; Humans; Hydronephrosis - diagnosis; Hydronephrosis - diagnostic imaging; Infant; Male; Ultrasonography; Urinary Tract Infections - diagnosis; Urinary Tract Infections - diagnostic imaging; Urography; Vesico-Ureteral Reflux - diagnosis; Vesico-Ureteral Reflux - diagnostic imaging
• ISSN: 0578-1310

To analyze the clinical data and result of voiding cystourethrography (VCUG) in high-risk children with vesicoureteral reflux (VUR) for better awareness of VUR, and to assess the usefulness of non-radioactive voiding ultrasonography (VUS) in the diagnosis of VUR. Ninety-three high-risk children with VUR who were hospitalized from July 2007 to April 2010 were studied. The study included 58 cases of urinary tract infection (UTI) and 35 cases of fetal or postnatal hydronephrosis detected on a B ultrasound scan. The results of urinalysis, urine culture, renal function, B ultrasound and VCUG were evaluated. Part of patients underwent VUS followed by VCUG immediately. (1) Sixty-two boys and 31 girls (aged 1 month to 11.5 years, mean age 2 years) were included. VUR was detected in 26 patients (28%) by VCUG. In terms of kidney-ureter units, VUR was detected in 36 of 186 kidney-ureter units, including 6 grade I, 3 grade II, 6 grade III, 15 grade IV and 6 grade V. (2) VUR was detected in 20 of 58 UTI patients (34.5%) b