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AWT IMAGE

AWT IMAGE

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:: Volume 12, Issue 2 (Spring 2023) ::
aumj 2023, 12(2): 216-221 Back to browse issues page
The specificity and specialty of renal ultrasonography versus VCUG in vesicoureteral reflux
Ali Lotfi *
Emergency Medicine Specialist, Madani Hospital, Alborz University of Medical Sciences,Alborz,Iran
Abstract:   (566 Views)

Introduction: Urinary Tract Infection (UTI) occurs in 1-3% of girls and 1% of boys. In girls، the peak age of UTI is during infancy and toilet training. UTIs are much more- common in uncircumcised boys، especially in the first year of  life. Vesico Urethral Reflux (VUR) is one of the most complications of UTI. The main way to diagnose VUR is VCUG. VUR can cause to renal scars that we can see most of these scars in renal ultrasonography. (RUS)  
Material and Methods: We choosed 80 children that has been hospitalized from March، 2011 till December، 2012 in Qods educational and curative center of Qazvin for UTI and has been cured with intravenous antibiotic and we evaluated them. From this 80 children in 40 children، existence of VUR has been proved with VCUG and 40 children haven't any reflux.  All of these children did VCUG and ultrasonography to compare sensitivity and specificity of US vs "VCUG" to diagnose VUR. 

Findings and Results:  Only in 14 of 40 children that VUR has been proved in them، we saw hydronephrosis in renal ultra sonography، but in 40 children that VCUG had disapproved VUR in them we didn't see any document for hydronephrosis in RUS.The sensitivity of kidneys & bladder ultrasonography to diagnosis of vesicourethral reflux in children with urinary tract infection is 35% and it`s specificity is 100%.We evaluated some of other findings in these 80 children.

Conclusion: From this study we can conclude that although RUS hasn't high sensitivity to diaguse of VUR، it has high specificity to rule out of VUR in children.
Keywords: Urinary Tract Infection, Renal Ultra Sonography, VCUG, Vesico Urethral Reflux.
Full-Text [PDF 793 kb]   (462 Downloads)    
Type of Study: Research | Subject: Special
Received: 2021/12/20 | Accepted: 2022/12/31 | Published: 2023/05/31
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Lotfi A. The specificity and specialty of renal ultrasonography versus VCUG in vesicoureteral reflux. aumj 2023; 12 (2) :216-221
URL: http://aums.abzums.ac.ir/article-1-1709-en.html


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Volume 12, Issue 2 (Spring 2023) Back to browse issues page
نشریه دانشگاه علوم پزشکی البرز Alborz University Medical Journal
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