Study on the diagnostic value of contrast-enhanced ultrasound for vesicoureteral reflux in adults
Objective To compare the diagnostic value of contrast-enhanced voiding urosonography(CeVUS)with voiding cystourethrography(VCUG)in adults with vesicoureteral reflux(VUR).Methods A retrospective analysis of 56 adult patients who were diagnosed with neurogenic bladder and treated in our hospital from January 2018 to December 2020 was performed.CeVUS examination was performed on all patients.VCUG examination was used as a standard control to compare and observe the diagnostic results and patient satisfaction between the two different examination methods.Results CeVUS detected vesicoureteral reflux in 21 cases,with a positive rate of 37.5％.VCUG detected vesicoureteral reflux in 20 cases,with a positive rate of 35.7％.The sensitivity of CeVUS and VCUG in detecting VUR was 93.3％and 96.5％,respectively.The specificity of the two methods was 98.8％and 97.6％.Patient satisfaction survey results showed that 92.9％(52/56)of patients were predisposed to CeVUS compared with 80.4％(45/56)of patients preferred VCUG.Conclusions CeVUS has certain diagnostic significance for detecting and grading vesicoureteral reflux in adults.It is safe and non-radioactive.It can be used as a screening method and a follow-up tool for vesicoureteral reflux.
万方数据
维普
