Abstract:
OBJECTIVE:To determine the sensitivity of the direct radionuclide cystogram (DRC) in detecting vesico-ureteric reflux compared with the micturating cysto-urethrogram (MCU) in the same initial setting, in infants younger than one year. PATIENTS AND METHODS:The results from the dual cystograms of 62 refluxing infants < 1 year old (mean 0.58) were compared. Results from same-day renal scintigraphy with dimercaptosuccinic acid (DMSA) in 60 of the 62 infants were also compared with the reflux grades. RESULTS:Reflux was detected in 105 units, 96 detected on the DRC and 47 on the MCU, representing a sensitivity of 91% and 45%, respectively. The DRC missed half of grade 1, 20% of grade 2 and 6% of grade 3 reflux. Reflux at low bladder filling rates (DRC) represented 40% of all reflux units, and a half (52%) of scarred renal units detected by DMSA scintigraphy. CONCLUSIONS:In young infants the MCU may fail to detect significant reflux and the DRC may fail to detect the lesser grades. The combination of both cystograms in the initial investigation of reflux provides more comprehensive information.
journal_name
BJU Intjournal_title
BJU internationalauthors
McLaren CJ,Simpson ETdoi
10.1046/j.1464-410x.2001.00997.xkeywords:
subject
Has Abstractpub_date
2001-01-01 00:00:00pages
93-7issue
1eissn
1464-4096issn
1464-410Xpii
bju997journal_volume
87pub_type
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journal_title:BJU international
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pub_type: 杂志文章,随机对照试验
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journal_title:BJU international
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pub_type: 杂志文章,多中心研究
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更新日期:2006-07-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:BJU international
pub_type: 杂志文章
doi:10.1046/j.1464-410x.2000.00771.x
更新日期:2000-09-01 00:00:00
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更新日期:2011-08-01 00:00:00
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更新日期:2006-03-01 00:00:00
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更新日期:2005-12-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2015-05-01 00:00:00
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journal_title:BJU international
pub_type: 杂志文章,评审
doi:10.1111/j.1464-410X.2008.07594.x
更新日期:2008-07-01 00:00:00
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journal_title:BJU international
pub_type: 杂志文章,随机对照试验
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更新日期:2013-01-01 00:00:00
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更新日期:2006-06-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1111/bju.13307
更新日期:2016-06-01 00:00:00
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journal_title:BJU international
pub_type: 杂志文章
doi:10.1111/j.1464-410X.2008.08033.x
更新日期:2009-02-01 00:00:00
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更新日期:2004-09-01 00:00:00