造影剂增强超声诊断膀胱输尿管反流的价值。

IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren Pub Date : 2024-10-01 Epub Date: 2024-02-26 DOI:10.1055/a-2254-5490
Patrick Conen, Janine Thiemann, Regina Stredele, Dirk Andre Clevert
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引用次数: 0

摘要

背景:尿路和膀胱对比增强超声检查(ceVUS)是一种可替代排尿膀胱造影术(MCU/VCUG)的检查方法,可用于疑似膀胱输尿管反流(VUR)的检查,在实践中应用越来越广泛。本综述旨在介绍 ceVUS 目前在诊断中的价值:方法:在 MEDLINE 和 Cochrane Library 数据库中以 "膀胱输尿管反流"、"ceVUS"、"VCUG "为关键词进行了系统性文献检索,并对德国、欧洲和美国有关该主题的现行指南进行了回顾。结论:ceVUS 是一种快速上手的检查方法,在诊断膀胱输尿管反流方面与 VCUG 相当,由于没有辐射暴露,应作为首选诊断方法:- 与VCUG一样,ceVUS也是诊断疑似膀胱输尿管反流的首选方法,在没有辐射暴露的情况下应优先使用。- 特别是与替代的 VCUG 相比,ceVUS 是一种快速上手的检查方法。- ceVUS还可用于诊断下尿路的其他病变:- Conen P, Thiemann J, Stredele R et al.对比增强超声造影在诊断膀胱输尿管反流中的价值。Fortschr Röntgenstr 2024; DOI: 10.1055/a-2254-5490.
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Value of contrast-enhanced sonography in the diagnosis of vesicoureteral reflux.

Background:  Contrast-enhanced ultrasound of the urinary tract and bladder (ceVUS) is an alternative examination method to micturition cysturethrography (MCU/VCUG) for suspected vesicoureteral reflux (VUR) that is increasing in practice. The purpose of this review is to present the current value of ceVUS in the diagnosis.

Method:  A systematic literature search was performed using the keywords "vesicoureteral reflux", "ceVUS", "VCUG" of the databases MEDLINE and Cochrane Library as well as a review of current German, European, and American guidelines on this topic. In addition, recommendations for action in clinical practice were developed.

Conclusion:  ceVUS is a quick-to-learn examination method that is equivalent to VCUG for the diagnosis of vesicoureteral reflux and should be used as the diagnostic method of first choice when available given the absence of radiation exposure.

Key points:   · Like VCUG, ceVUS is the diagnostic method of first choice in suspected vesicoureteral reflux and should be used preferentially given the absence of radiation exposure.. · Especially in comparison to the alternative VCUG, ceVUS is a quick-to-learn examination method.. · ceVUS can also be used to diagnose other pathologies of the lower urinary tract..

Citation format: · Conen P, Thiemann J, Stredele R et al. Value of contrast-enhanced sonography in the diagnosis of vesicoureteral reflux. Fortschr Röntgenstr 2024; 196: 1022 - 1028.

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