Abstract

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.

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

References

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How to cite

1.
Yazılıtaş F, Yazılıtaş F, Özlü SG, Kargın Çakıcı E, Çınar HG, Ekşioğlu AS, et al. İdrar Yolu Enfeksiyonu Tanılı Çocuklarda Ultrasonografi, Teknesyum-99m Dimerkaptosüksinik Asit Sintigrafisi ve Voiding Sistoüretrografi Bulgularının Uyumu. Turk J Pediatr Dis [Internet]. 2019 Jul. 30 [cited 2025 May 24];13(4):277-82. Available from: https://turkjpediatrdis.org/article/view/593