Comparison of ultrasound and dimercaptosuccinic acid scintigraphy changes in acute pyelonephritis

被引：18

作者：

Morin, D ^{[1
]}

Veyrac, C ^{[1
]}

Kotzki, PO ^{[1
]}

Lopez, C ^{[1
]}

Dalla Vale, F ^{[1
]}

Durand, MF ^{[1
]}

Astruc, J ^{[1
]}

Dumas, R ^{[1
]}

机构：

[1] CHU Montpellier, Hop Arnaud Villeneuve, Serv Pediat, F-34095 Montpellier 5, France

来源：

PEDIATRIC NEPHROLOGY | 1999年 / 13卷 / 03期

关键词：

acute pyelonephritis; dimercaptosuccinic acid scintigraphy; B-mode renal ultrasonography; high-frequency transducer;

D O I：

10.1007/s004670050596

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The strategy for morphological investigations in children with acute pyelonephritis (APN) remains debatable. We studied 70 children (median age 2.0 years) admitted with a first episode of pyelonephritis using a high-resolution ultrasound technique (RUS) and compared the results with 99m technetium-dimercaptosuccinic acid (DMSA) renal scintigraphy. The DMSA scan was abnormal in 62 children (89%). However, using a high-frequency transducer we found abnormal sonogram changes in 61 children (87%), consisting of an increased kidney volume in 42, and/or a thickening of the wall of the renal pelvis in 42, and/or a focal hyper- or hypoechogenicity in 36, and/or a diffuse hyperechogenicity in 31 children. Micturating cystourethrography was performed in all children, revealing vesicoureteral reflux (VUR) in 22 (31%). Among those children with VUR, 4 had a normal DMSA scan, 2 an abnormal RUS, and 2 a normal DMSA scan and RUS. Our data suggest that B-mode RUS performed with a high-frequency transducer by a trained radiologist is nearly as sensitive as the DMSA scan in diagnosing renal involvement in children with unobstructed APN and in predicting VUR.

引用

页码：219 / 222

页数：4