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目的:探讨如何提高排尿性膀胱尿道造影的成功率和诊断的准确性。方法:对于临床上出现排尿异常症状的216例患儿作了226次排尿性膀胱尿道造影。结果:206例一次造影成功(95.0%),10例二次造影成功(5.0%);195例下尿路有异常(90.3%),21例无异常(9.7%)。结论:排尿性膀胱尿道造影是排尿异常患儿必作的检查;保持一定姿势和诱发排尿是造影成功的关键;造影有可能引起 VUR 及尿路感染。
Objective: To explore how to improve the success rate of urinary bladder and urethrography and the accuracy of diagnosis. METHODS: A total of 226 urinary bladder and urethra tests were performed on 216 children with clinically abnormal voiding symptoms. Results: One case of 206 cases was successful (95.0%) and the other 10 cases were successful (5.0%). The lower urinary tract was abnormal in 195 cases (90.3%) and no abnormality was found in 21 cases (9.7%). Conclusions: Urinary bladder urethrophysis is a necessary examination in children with dysuria. To maintain a certain posture and to induce urination is the key to successful radiography. Angiography may cause VUR and urinary tract infection.