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Aktuelle Urol 2020; 51(02): 137-144
DOI: 10.1055/a-0967-0743
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Refluxdiagnostik – Stellenwert des Miktionszystourethrogramms

Diagnostic evaluation of reflux: significance of voiding cystourethrography
Rolf Beetz
Johannes Gutenberg Universität Mainz, Zentrum für Kinder- und Jugendmedizin, Mainz
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Publication History

Publication Date:
27 August 2019 (online)

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Zusammenfassung

Das radiologische Miktionszystourethrogramm gilt in der Kinderurologie seit Langem als Goldstandard zur Refluxprüfung. In den zurückliegenden Jahrzehnten haben sich daneben zusätzliche kontrastmittelgestützte Verfahren wie die sonografische Refluxprüfung oder die Radionuklidzystografie etabliert. Ihr Hauptindikationsgebiet liegt in der Reflux-Diagnostik nach Pyelonephritis im Säuglings- und Kindesalter. Für die Auswahl der geeigneten Methode spielen klinische Fragestellung, Verfügbarkeit, ökonomische Aspekte, personeller und zeitlicher Aufwand und das Ziel der geringstmöglichen Strahlenbelastung bei maximalem Informationsgehalt eine Rolle. Moderne Strategien streben unabhängig von der Methode der Refluxprüfung eine risikoorientierte, individuelle Indikationsstellung an.

Abstract

Radiological voiding cystourethrography has long been considered the gold standard for reflux testing in paediatric urology. Additional contrast-based procedures such as voiding urosonography or radionuclide cystography have been established in recent decades. Their main indication is reflux diagnosis after pyelonephritis in early infancy and childhood. The selection of the appropriate method is based on factors such as clinical question, availability, economic aspects, expenditure of human resources and time, and the goal of finding of method that provides as much information as possible while keeping radiation exposure to a minimum. Modern strategies aim for a risk-oriented, individual indication independent of the method of reflux testing.

Schlüsselwörter

vesikoureteraler Reflux - Miktionszystourethrogramm - Harnwegsinfektion - infravesikale Obstruktion - Urethralklappe

Keywords

vesicoureteral reflux - voiding cystogram - urinary tract infection - infravesikal obstruction - urethral valve
 

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