İdrar Yolu Enfeksiyonu Tanılı Çocuklarda Ultrasonografi, Teknesyum-99m Dimerkaptosüksinik Asit Sintigrafisi ve Voiding Sistoüretrografi Bulgularının Uyumu

Yıl 2019, Cilt: 13 Sayı: 4, 277 - 282, 30.07.2019

Fatma Yazılıtaş , Fatma Zehra Öztek-çelebi , Sare Gülfem Özlü , Evrim Kargın Çakıcı , Hasibe Gökçe Çınar Ayşe Seçil Ekşioğlu Nedim Cüneyt Murat Gülaldı Mehmet Bülbül

https://doi.org/10.12956/tchd.512969

Öz

ÖZ

Amaç: Bu çalışmanın amacı idrar
yolu enfeksiyonu öyküsü olan çocuklarda ultrasonografi,
teknesyum-99m dimerkaptosüksinik asit sintigrafisi ve voiding sistoüretrografi
ile saptanan bulguların karşılaştırılması ve önemli vezikoüreteral reflü ve
renal hasar tespitini arttırırken invaziv testleri en aza indirmektir.

Gereç ve Yöntemler: Hastanemizde bir yıllık süre içinde ultrasonografi, teknesyum-99m dimerkaptosüksinik asit
sintigrafi ve voiding sistoüretrografi uygulanan idrar yolu enfeksiyonu tanılı çocuk
hastaların tıbbi kayıtları retrospektif olarak incelendi.

Bulgular: Toplam 99 (%40.9) erkek (ortalama yaşı 1.7 ± 3.1
yıl) ve 143 (%59.1) kız (yaş ortalaması 5.3 ± 3.9 yıl) hasta çalışmaya alındı.
Ultrasonografinin 196 (%81.0) hastada anormal olduğu saptandı. Vezikoüreteral
reflü 102 (%42.1) hastada gözlendi. Vezikoüreteral reflü evresi 4-5 olan hastaların
%65.7’nde teknesyum-99m dimerkaptosüksinik asit
sintigrafisinde renal parankimal skar saptandı.

Sonuç: İdrar yolu enfeksiyonu ilişkili vezikoüreteral reflü saptanması için
tarama yöntemi olan ultrasonografi vezikoüreteral reflüyü tamamen
öngörememektedir. Teknesyum-99m dimerkaptosüksinik asit sintigrafisi
ultrasonografiye göre daha güvenilir bir inceleme olsa da vezikoüreteral reflü
saptanması için günümüzde voiding sistoüretrografi en güvenilir yöntemdir.

Anahtar Kelimeler

İdrar Yolu Enfeksiyonu, Renal parankimal hasar, Ultrasonografi, Teknesyum-99m dimerkaptosüksinik asit sintigrafisi, Vezikoüreteral reflü

Kaynakça

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