fa بررسی ارزش تشخیصی سونوگرافی در مقایسه با DMSA در تشخیص اسکار کلیه در کودکان 10-2 سال شهرستان سنندج در سال 1400-1399 پزشکی- کودکان Medicine - Pediatric پژوهشي اصیل Original Research <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">زمینه و هدف:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">فیبروز و آسیب برگشت&shy;ناپذیر کلیه که در نتیجه التهاب حاصل می&shy;شود، اسکار پارانشیم کلیه نامیده می&shy;شود؛</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بنابراین پیدا کردن روش مناسب تشخیص کمک بسیار زیادی به این بیماران خواهد کرد. استفاده از روش </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DMSA</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> که یک روش فوق‌العاده برای بررسی کورتکس کلیه است می‌تواند در تصمیم‌گیری برای درمان این بیماران مفید باشد</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">این پژوهش با هدف بررسی ارزش تشخیصی سونوگرافی در تشخیص اسکار کلیه در مقایسه با </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DMSA</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> در کودکان 2 تا 10 سال شهرستان سنندج</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">انجام شده است.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">مواد و روش ها</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">: </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">این مطالعه به روش توصیفی بر روی 70 بیمار 2 تا 10 سال با سابقه ابتلا به عفونت مجاری ادراری و یا رفلاکس مثانه به حالب که در اسکن </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DMSA</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> دارای اسکار کلیه بودند، انجام شد.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">این بیماران تحت سونوگرافی کلیه قرار گرفتند، سپس نتایج سونوگرافی با نتایج </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DMSA</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> هر بیمار مقایسه شد</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">داده&shy;ها در نرم&shy;افزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">STATA-14</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> وارد شد و سپس فراوانی&shy;ها، درصدها و انحراف استاندارد محاسبه شد</span></span><span dir="LTR" style="font-size:12.0pt">.</span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Tahoma",sans-serif"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">یافته&shy;ها:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> نمونه&shy;های مورد مطالعه 70 نفر بود که از این میان 42 نفر (60%) دختر و 28 نفر(40%) پسر بودند. تعداد 31 نفر(44/3%) در یک سال اخیر سابقه ابتلا به عفونت ادراری داشته‌اند. تعداد 39 نفر(55/7%) سابقه ابتلا به رفلاکس ادراری داشتند. در سونوگرافی 29 نفر(41/4%) شواهد وجود اسکار کلیه مشاهده شده است درحالی‌که </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">اسکار کلیه در تمام بیماران با اسکن </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DMSA</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> تشخیص داده شد.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Zar""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">نتیجه‌گیری:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""> در این مطالعه میزان حساسیت سونوگرافی در تشخیص اسکار کلیه در کودکان پایین گزارش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">&nbsp;شده </span></span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">بود. این پژوهش نشان داد که سونوگرافی نمی&shy;تواند جایگزین مناسبی برای </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">DMSA</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">جهت تشخیص اسکار کلیه در کودکان باشد</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">.</span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Background and Aim</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">: Fibrosis and irreversible kidney damage that occur with inflammation are defined as renal parenchymal scar. Kidney scar occurs in children with pyelonephritis, and it is one of the major complications of urinary tract infection.</span></span>&nbsp;<span new="" roman="" style="font-family:" times=""><span style="color:black">DMSA is an excellent method to examine the renal cortex. It is also useful in making treatment decisions for these patients.</span></span>&nbsp;<span new="" roman="" style="font-family:" times=""><span style="color:black">&nbsp;This study aimed to evaluate the diagnostic value of ultrasound in detecting renal scar compared with DMSA&nbsp; in children from 2 to 10 years in Sanandaj in 2020-2021.<b>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</b></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods:&nbsp;</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">This descriptive study was performed on 70 patients from 2 to 10 years old with a history of vesicoureteral reflux or urinary tract infection who had a kidney scar on the DMSA scan. These patients&nbsp;underwent renal ultrasound.&nbsp;Then ultrasound results were compared with the DMSA results of each patient. All&nbsp;data were entered in STATA-14, then frequencies, percentages, and standard deviations were calculated.</span></span><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Results:&nbsp;</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">The results of this study showed that 60 percent of the subjects were female and 40 percent male.&nbsp;All scars were detected in all patients with DMSA scan, while only 41/4% were diagnosed by ultrasonography.</span></span><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> <span style="font-size:11pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:&nbsp;</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">In this study, the sensitivity of ultrasound in detecting renal scar was reported to be low. This research showed that ultrasound could not be an appropriate alternative to DMSA for detecting kidney scars in children.</span></span><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> <br> &nbsp; اسکار کلیه؛ کودکان؛ سونوگرافی؛ DMSA؛ حساسیت Renal scar, Children, Ultrasound, DMSA, Sensitivity 55 63 http://sjku.muk.ac.ir/browse.php?a_code=A-10-4828-1&slc_lang=fa&sid=1 Rezvan Mansouri رضوان منصوری 5400319475328460070137 5400319475328460070137 No General Physician, Kurdistan University of Medical Sciences, Sanandaj, Kurdistan, Iran karim sharifi کریم شریفی 5400319475328460070138 5400319475328460070138 No Department of Radiology,Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran Alireza eskandarifar علیرضا اسکندری فر 5400319475328460070139 5400319475328460070139 No Department of Pediatrics٫Besat Hospital,Faculty of Medicine,Kurdistan University of Medical Sciences,sanandaj,iran Rama Naghshizadian راما نقشی زادیان r.naghshizadian@gmail.com 0051276453 5400319475328460070140 Yes Department of Pediatrics٫Besat Hospital, Faculty of Medicine,Kurdistan University of Medical Sciences,sanandaj,iran. گروه کودکان ،بیمارستان بعثت،دانشکده پزشکی ،دانشگاه علوم پزشکی کردستان ، سنندج ، ایران، ایران. bahar Moasses Ghafar بهار موسس غفاری 5400319475328460070141 5400319475328460070141 No Nuclear medicine and molecular imaging department of Kowsar Hospital, Faculty member of Kurdistan University of Medical sciences,iran