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Vesicoureteric reflux in the adult.

机译:成人的输尿管反流。

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摘要

Vesicoureteric reflux (VUR) is a well-recognized entity in the paediatric population, but is not well described or understood in the adult population. This is partly explained by the fact that its incidence declines with advancing age. Its diagnosis is, however, still important, with VUR accounting for at least 10% of adult patients with end-stage renal disease. With early detection and careful management, the secondary complications of VUR such as renal failure can be prevented. Imaging plays a major role in the detection and evaluation of VUR in the adult patient. Conventional techniques such as micturating cystourethrograms have now been supplemented by cross-sectional imaging with CT and MRI. In this review article, we comprehensively review the up to date status of imaging the adult patient with VUR and discuss important subgroups of patients such as pregnant and transplant patients.
机译:膀胱输尿管反流(VUR)在儿科人群中是公认的实体,但在成年人群中并未得到很好的描述或理解。部分原因是由于其发病率随着年龄的增长而下降。然而,它的诊断仍然很重要,VUR占晚期肾病成年患者的至少10%。通过早期发现和谨慎处理,可以预防VUR继发性并发症,例如肾衰竭。成像在成年患者的VUR的检测和评估中起着重要作用。如今,常规技术(如膀胱尿道造影)已通过CT和MRI断层成像得到了补充。在这篇综述文章中,我们全面回顾了对成年患者进行VUR成像的最新状态,并讨论了患者的重要亚组,例如孕妇和移植患者。

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