Correlation of x-ray findings and radioisotope changes in children with vesicoureteral reflux

Abstract

Od 1982. godine naovamo ispitivali smo u 18-ero djece, sa vezikoureteralnim refluksom, korelaciju rendgenoloških nalaza i radioizotopnih pretraga, sa ciljem utvrđivanja stupnja funkcionalne bubrežne lezije. Kod rendgenološki još nevidljivih upalnih promjena nalazimo već depresiju bubrežne funkcije u smislu redukcije tubularne mase ili drenažnih smetnji u eliminatornom segmentu, koje, nažalost više ni operativni zahvat u većini slučajeva ne može zaustaviti. Stoga smatramo da je baš radioizotopno ispitivanje bubrežne funkcije neobično važno u slu­čajevima bez rendgenološki vidljivih upalnih promjena u cilju postavljanja pravovremene indikacije za operativni zahvat.Since 1982 the correlation of x-ray findings and radioisotope treatments was investigated in 18 children with vesicoureteral reflux. Its aim was to determine the level of functional renal lesion. With radiologically still invisible inflammatory changes a depression of renal function is already present. It is found either as reduced tubular mass or drainage hindrances in eliminatory segment which unfortunately cannot be, in majority of cases, stopped by a surgery. Therefore the radioisotopic investigation of renal function is of the utmost importance in cases without radiologically visible inflammatory changes in order to indicate a surgery in time