[Reliability of the combination of ultrasonography-cystography in the study of urinary infection in children. Prospective study on 90 cases].
The authors report a prospective study concerning 90 children with a urinary tract infection, investigated for the first time by radiological and ultrasonographic techniques. Amongst these 90 children, 50 (i.e. 55% of cases) had a normal retrograde cystography and ultrasonography. These children did not have any IVU and medical surveillance proved to be sufficient. Ten patients had a normal retrograde cystography and abnormal ultrasonography. Intravenous urography carried out in these 10 cases revealed in 8 instances an abnormality of the upper urinary tract. Finally 30 children had an abnormal retrograde cystography, with reflux in 29 cases, leading to intravenous urography which yielded a pathological result in only half of the cases studied. This series confirms the central role of retrograde cystography. When it is normal, intravenous urography may be legitimately substituted by ultrasonography.
Deflandre
D
D
Service de Radiologie, Hôpital Louis-Mourier, Colombes.
Legmann
P
P
Guichard
J P
JP
De Broucker
F
F
Levesque
M
M
D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011446:Prospective Studies; D011859:Radiography; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging
Fiabilité du "couple" échographie-cystographie dans l'exploration de l'infection urinaire de l'enfant. Etude prospective portant sur 90 cas.