649
335610226014562119
Ces38227936014570127174
Urol40217936014578115180208
2018;42547936014562121176230253
22(1):45337936014561121152206230252
32–3948117936014561118175233291
ORIGINÁLNÍ3862207016996181224324367468561635735777
PRÁCE4677207016983165262348424
reterální62489801313283115165195244265321342
reflux98989801313585110136192238
4.−5.125389801315370132182198
stupně147489801314377133192249301
byl1800898013161107129
prokázán195489801316192147193242286335392
u2371898013159
222455898013154105
dětí2586898013160111143164
(21,8624104801312978122132185
%)8261048013180103
−9461048013165
510271048013153
dívek1097104801315979126175219
(231338104801312372122
%),14771048013180103117
171611104801315394
chlapců17221048013148104124170227274329
(772073104801312474124
%).22131048013180103116
Průměrný2346104801315583139224275304360404
věk6241198013150100145
provedení799119801316192147195246305357414434
MCUG12631198013186147213280
u15661198013165
této1654119801314191123178
skupiny1856119801314892149207229285330
pacientů22161198013161110158178230287318374
byl26201198013161107130
3,95624134801315572123176
měsíce,8321348013192146187208257309326
medián11901348013192146208230279338
tři155213480131437597
měsíce16811348013193147188209258310
(1–22).2015134801313786136184238264280
Močovod23261348013188148198255304362424
≥36241498013168121
mm7641498013192184
byl9721498013172121144
zachycen11411498013155107157216263312364423
u15891498013170
1216831498013165111
dětí18181498013171125159181
(552024149801313991141
%),21991498013184109125
pánvička23491498013172123182231254303349401
≥5mm6241648013166116223311
u9601648013159
211044164801315399
dětí11691648013159111143164
(951356164801313179129
%).15101648013182106120
Při1655164801315584105
statistickém1783164801314377125156177215249270317361412499
posouzení23081648013160118157214271314365422442
nebyla6241798013158110167213234281
zjištěna92317980131446585122155204259306
statisticky1247179801314073121152172209242263309352402
významná1667179801314999144201248334390437
souvislost2122179801314097153200221259279335373406
mezi25461798013189140183204
sledovanými624194801314061111169225271318374418505525
ultrazvukovými1166194801315878109139187229280336379433479529617637
parametry18201948013160107137184270321352382432
a22691948013149
průkazem2335194801316090146189237280329415
vezikoureterálního6242098013150100144165209265322352403435485515564585641662721778
refluxu1425209801313182106133189235291
4.−5.1738209801315471133183199
stupně.1960209801314073130188245297313
Ve7742248013158110
druhém9102248013176109170231287380
souboru13162248013156117178241303337398
byla17402248013177127152203
mikční19842248013192116164213274297
cystoure‑23082248013164118161198257317351405442
trografie624239801313466123183215265291318371
uskutečněna10192398013167106151209243294344402455513562
u16052398013167
8416962398013162118
dětí.18382398013168121154176195
Vezikoureterální20572398013164114158181227284342373425458510541591614671693
reflux624254801313284110136193241
4.−5.889254801315774138189206
stupně1119254801314479136196254307
byl14542548013160107131
zjištěn160925480131477092131165216274
u19102548013159
2419932548013157104
dětí21252548013160112145167
(28,62316254801313384135154208
%)25512548013181106
−26852548013165
11624269801315494
dívek743269801316789138190235
(461002269801313787141
%),11752698013181106122
1313212698013161105
chlapců14502698013157115137185245294352
(541826269801313687140
%).19982698013181106121
Průměrný2143269801316393151240293324383429
věk25962698013157109154
provedení624284801316092147195246305357414435
MCUG10792848013185146212279
prokazující1377284801316092147193243287344366387434455
vysokostupňový18522848013149100140198243299338372429488545602650701
VUR25732848013155124177
byl6242998013161108131
6,55782299801315371125174
měsíců,9822998013190143183204252309327
medián13362998013190143203225273331
4,51694299801315370124
měsíců18442998013190143183204252309
(1–17).2177299801313280129175219248263
Močo‑24662998013186144193249284
vod6243148013150107167
≥38133148013166118
mm9503148013190179
byl11513148013161108131
zachycen1306314801314394142200246294345402
u17313148013158
918123148013153
dětí18883148013159112145167
(412079314801312877122
%),22243148013181106122
pánvička23683148013161111168215238286331382
≥56243298013166119
mm7633298013190180
u9683298013167
1910603298013162108
dětí11923298013169122155178
(861395329801313789143
%).15713298013182107123
Při1718329801316495118
statistickém1860329801315085135168190230265287336382435525
hodno‑24093298013168127188247306341
cení6243448013150103163186
byla8353448013171119144194
prokázána10543448013171105163211264310362422473
významná15523448013159113162222273365424475
souvislost20523448013151111171222246286310369411447
mezi25333448013192147193217
příčným624359801316192115163220266357
průměrem1006359801316092151239292323375464
pánvičky14953598013161111169216239287332383
<819033598013166117
mm20393598013190179
a22423598013151
průkazem2318359801316193151196247291343432
vezikoureterálního6243748013150102146169214271329360411445496527577599657678738796
refluxu1445374801313688114140197244302
4.−5.1771374801315876139190207
stupně2002374801314680138197256309
(p=0,037)2335374801313394161217234288338386415
a6243898013150
mezi6943898013190143187209
tloušťkou927389801313053110168207242288344402
parenchymu13493898013161110141192250298356402491548
<819173898013166116
mm20523898013190178
a22503898013150
průkazem2320389801316193150195246290341430
vezikoureterálního6244048013150102146169214271329360411445496527577599657678738796
refluxu1445404801313284109136193240298
4.−5.1767404801315471135186203
stupně1994404801314175133193251304
(p=0,019).2322404801312989157213230284332377403418
Závěr:7744193013562117168221259284
U10744198013168
pacientů11604198013160108155175226282312367
ve1545419801314999
věku1662419801314999142199
0−218784198013153119164
roky2064419801312782127176
se2258419801314092
screenin‑2367419801314188117167219275295351383
govým6244348013160117164215304
ultrazvukovým956434801315980112142191235286344388444491542631
průkazem1615434801316192149193242286336424
dilatace2067434801316081102149180229276326
horních24214348013159116147205225272329
močových6244498013190147195249296347393450
cest1092449801314998137171
neumožní12814498013158110166254311352410430
ultrazvukové1729449801315879111142190234285342386442489540
hodnocení22874498013158115174231288336386442463
šíře62446480131406092141
pánvičky,7824648013160108163208228274317366377
močovodu11764648013189145192245291345403457
nebo16504648013158109166223
síly189046480131405982127
parenchymu20344648013160107137186241287343386473528
pre‑2579464801316090139171
dikci624479801316080124169190
vysokostupňového8314798013150100139196241296334367424482538595642692748805
vezikoureterálního1654479801314999143164207263319349399430480510558579635655714770
refluxu.2447479801312777102128184229285303
U6244948013169
pacientů7194948013161109157178229286317373
ve11154948013153103
věku12414948013153104148205
0−214724948013154121166
roky,1661494801313591136186198
kteří1882494801315085135165186
prodělali2094494801316192147207258280327348369
akutní2486494801315297154186243264
pyelonefritidu,6245098013161107158179236293345372404426458479537593610
svědčí1257509801314594145204251272
pro1556509801316192147
přítomnost1730509801316192113145200289345402441475
vezikourete‑22285098013154105148170214269326356407439489522
rálního624524801313281101157177236292
refluxu939524801312777101128183229285
4.−5.1242524801315369131181196
stupně1456524801314073130187244296
příčný1769524801316191112158214259
průměr2045524801316191148234286315
pánvičky23785248013161109165211232278322372
do6245398013160117
8mm7625398013153160248
a/nebo1031539801315089143195253311
redukce1365539801313181140196241287336
parenchymu17225398013161110140190247295351396485541
pod22845398013161119178
8mm.24835398013154161249267
KLÍČOVÁ6255684014770132164236320392464
SLOVA11165684014762123207279351
Děti,6245848013171125157179197
mikční8485848013191112158204262284
cystouretrografie,11565848013152103144178234292323375408440496557588638663690743760
ultrazvuk,1943584801315880114145195240293351396418
vezikou‑23855848013153105149172217274332365
reterální624599801313284117168199249272329351
reflux.999599801313284109136193240260
SUMMARY6256284014762143243345423493561
Šmakal7746448013152143194241294317
O,1125644801317692
Šarapatka12436448013161113145197259311344392444
J,1713644801314765
Vrána1804644801316697149209259
J,2089644801314765
Flögelová2180644801316083143205260284344394446
H,2660644801317190
Kleštincová624659801315579132172206228286335390439489
T.1137659801315568
The12296598013156116169
value14226598013154104126183236
of1687659801315887
ultrasound1802659801315981114146196235294352409469
evaluation22956598013158107156179236284317339396455
in624674801312382
predicting7306748013170102155216238287324346405465
high-grade1220674801316789149208242305337387448501
vesicoureteral17466748013158111152173222279338370422456508540590613
reflux2383674801314194120147205253
in2660674801313290
children6246898013149107129150210241292350
under9986898013159117176229260
two12826898013134116173
years14796898013149101149180221
of1724689801315987
age18356898013150109162
The7747043013557120176
main9687043013593148175237
aspect12237043013556100163220269309
of1551704301356196
the16657043013539100156
paper:18407043013564119182239277303
A21627048013164
prospective2246704801316091147186245298347383404453504
study624719801314176133193241
evaluated8887198013153102152174231280312363423
the1335719801313391144
benefit15027198013160114172225251278311
of1836719801315887
ultrasound1945719801315981114146196236294352410469
evalua‑24377198013153102152174231280313
tion624734801313456114172
in820734801312481
predicting926734801316193144205226275311333391450
grade1401734801315991141200253
IV–V1678734801312480132186
vesicoureteral18897348013150101142163211267325356408441492523573596
reflux2509734801313384110136193241
in624749801312380
children7247498013149106127149208239290347
aged10917498013150109161221
0–213327498013153111158
years1510749801314899147178218
investigated1752749801311976123174214248270329377409459519
for2295749801312582113
asymp‑2428749801315089138228287322
tomatic624764801313490180229261283332
upper9807648013166126186240272
urinary1276764801316697120178227258310
tract1610764801314274124172209
dilation1843764801316889111160192214272331
detected21987648013168121154205255291342402
on26247648013167126
ultrasound297689801315982116149200241301360419480
screening3481898013150100132185240299322381441
or3947898013168101
after407389801315988126179211
having4309898013168118167190249310
had4644898013168118179
acute4848898013159109168202254
pyelonephritis.29761048013161108160182240299352412470501524557580618638
Aim:3126119301357098190215
To33621198013151102
assess3486119801315090129182223262
the3773119801313189142
value3937119801315099122179232
of4190119801315987
ultrasound4299119801315880114145195235293351409468
evalua‑47891198013153102152174231280313
tion2976134801313354110167
in3166134801311874
predicting3259134801315990140199219266301322378435
grade3713134801315989137195246
IV–V3982134801311973124176
vesicoureteral4177134801314999138158204259315345395427476506555576
reflux4776134801312777102128183229
in5028134801311874
children29761498013149107128150210241292350
aged33471498013150109162222
0–235901498013153111159
years37691498013149100149180221
investigated4014149801311977124176216250272332380412463524
for4562149801312582114
postnatal46971498013160119159194252301333383405
detection29761648013160113147198248285307365424
of3424164801316796
upper35441648013167127188242274
urinary3842164801316799121179229260312
tract4179164801314274124173210
dilation4413164801316890113162194216275333
or4771164801316799
after4894164801315987125176208
having29761798013159108155178236295
had32951798013159108167
acute3486179801315099156190241
pyelonephritis.37511798013161108160182240299352412470502524557580619638
Method:31261943013590147186248309373398
In3543194801312380
a36431948013150
prospective3713194801316092148188246300349385406455507
study,4239194801314175133192239252
the4515194801313088140
measured46751948013190142190229285316367427
ultrasound2976209801315881114145195235293351409469
parameters34732098013160110142192280334367418449490
of3991209801315987
the4102209801313896149
upper42802098013158117178232263
urinary4571209801315990113170219250302
tract4897209801313870120169205
(anteroposterior2976224801312973129159209239294352410448481531561582638669
renal3668224801312878134181202
pelvis38892248013159112133181202240
diameter,4148224801315879126212264296345375387
parenchymal45542248013160108138188244291347392479527548
thickness,2976239801313491112159203262314354392410
and34062398013149106164
ureteral3590239801315788138171221251300322
width)39312398013179101159191248273
were42232398013179130160211
compared44532398013149104192250299330380439
with49122398013178100133190
the2976254801313492145
results3145254801313890130187209242284
of3453254801316493
voiding35702548013155112134194215273332
cystourethrography39262548013155106147181237295327378411469500557617648698758817863
in4813254801312986
two49232548013140122179
cohorts29762698013149105163221253290332
of3328269801315887
patients34352698013160110142164217274306348
aged38032698013150109162222
0−240452698013154121168
years.42332698013148100148179220240
Patient44932698013155103135157209267299
cohort48122698013149105163221253290
129762848013153
was30482848013178126165
investigated3236284801311975121171210244265322370401450509
for3768284801312580111
postnatal38982848013160118157190247294325374395
detection43122848013159110142192240275296353410
of4741284801315785
upper48452848013157115174227257
urinary2976299801315992115174224257310
tract3311299801314376127177214
dilation,3550299801317092115165198221280340359
while39432998013180140163186240
patient42082998013170122155178232291324
cohort45572998013158116176235269307
248892998013163
in‑4977299801313291125
cluded2976314801314971128187240301
those3301314801313492150190243
who35683148013180138196
had37883148013159108168
had39803148013159108167
acute4171314801315099156190241
pyelonephritis.44363148013160108159182240299352411470501524557579618638
Fisher’s3126329801315173113172226258279317
test3467329801314395136171
at3663329801315991
the37793298013143102156
5%39593298013163142
significance4125329801315072132191213240267316366425475526
level,4676329801313286135188211229
chisquare4930329801315811613829763448013141100158206238289
test,3289344801313283123158177
and34883448013150108167
logistic3679344801312179140161200235257305
regression4008344801313182142174225265305327384443
test4475344801313283123158
were46553448013179131162214
used4891344801315898151211
for2976359801312986118
statistical3118359801314176125157179218253275323373395
analysis.35373598013150108157179227268289328347
Results:31263743013564124173239269311360388
Voiding35613748013158116141203228289352
cystourethrography39403748013173127170208267329363418454516550610674708761824887936
was490337480131104157200
performed29763898013163119152186246280373429492
in3493389801313494
10136133898013165115165
children38043898013160121144167229262316376
in4206389801313494
patient43263898013173125159182237298331
cohort46833898013161119181241275314
1.5023389801316579
Grade29764048013169101151210263
IV–V3263404801312782135189
vesicoureteral34764048013153105145166215271329360411445495527577599
reflux4099404801313687113140197244
was43704048013180129169
shown45634048013145102160239297
in4884404801312784
2249924048013157110
children29764198013149107128150210241292350
(21.8%)3350419801313182129142196277302
–36774198013155
537584198013154
girls3837419801316082113136175
(23%)4036419801313082135213238
and42984198013152110169
174492419801315498
boys46154198013161120167208
(77%).4847419801313183135215240255
The29764348013151111164
mean31604348013190144192249
age34304348013150109162
at3612434801315082
which37154348013179137159207265
a40004348013150
VCUG40714348013156116183251
was43424348013180129169
performed45314348013161115146178235267357410471
in5026434801311976
this2976449801313390111149
patient31444498013160108139161212268299
cohort34624498013148103160217248284
was37654498013178127165
3.953949449801315370119169
months,41374498013189146203234290329346
with45024498013179100133189
a47104498013149
median47794498013188140199220267323
of2976464801315987
330884648013154
months31674648013191149207239297337
(1–22).3528464801313078127174227253268
A38224648013164
ureter3911464801315990142175226257
≥341944648013165117
mm43364648013190179
was45414648013179129168
found4734464801313087145203262
in5020464801312482
122976479801315498
children30984798013154112134156215246298356
(55%)3478479801313484133211236
and37384798013155113172
a39344798013155
renal4013479801313889147196218
pelvis42604798013161115137186209248
≥545374798013166118
mm46844798013190179
in4887479801312885
2149964798013159106
children29764948013149107128150210241292350
(95%).3350494801312675127204229245
The36154948013151111164
statistical3803494801313873122154176215250272320370392
analysis42164948013150108156179227267288327
failed456749480131267698120173233
to4824494801313187
find4932494801312653110170
a29765098013150
statistically3050509801314882132164186225260282330380402424472
significant3546509801314769128186207233260308358416448
association4018509801315696136194244265314346368425484
between45265098013168122155236288342400
the4950509801314199152
observed29765248013159119159212243296348408
ultrasound3406524801315981114146196236294352409469
parameters38975248013161111142192281334367418449490
and44095248013150108168
evidence45995248013153102125184237295343394
of5015524801315987
grade2976539801316091141201253
IV–V3254539801312379131185
vesicoureteral34635398013150102142163212268325357408441492524574596
reflux.4083539801313284110136193240260
In3126554801312379
patient32245548013160108139161212268299
cohort35425548013148102159216247283
2,3844554801315369
voiding39325548013149105126184205261319
cystourethrography4269554801314998138171225282312362394451481536595625673731788833
was29765698013181132172
carried31735698013158109141174198252313
out35115698013168127161
in3697569801313291
8438135698013163119
children.39575698013158117140162223255308367386
Grade43775698013169102153214268
IV–V4670569801313289143198
vesi‑48935698013159112153175209
coureteral29765848013149104161191242274325355405426
reflux3426584801312879104130186233
was36785848013179128167
found3868584801312581138195254
in4145584801311976
2442405848013154101
children43605848013149106127148207237288345
(28.6%)4728584801312576126144197275300
–50475848013155
112976599801315392
girls3086599801315980109131169
(46%),3277599801312572126203227241
133537599801315295
boys36515998013159116162201
(54%).3875599801312473124200224238
The41325998013150108159
mean43105998013188139186242
age45705998013149107158
at4746599801314980
which48445998013178135155202258
a29766148013150
VCUG30506148013156117184252
demonstrating33266148013160113202260319358393424474506528586645
high-grade3996614801315980139197231293324374433486
vesicoureteral45066148013150102142163212268326357408442492524574596
reflux2976629801313283108134190237
was32326298013179128167
performed34186298013161114144176232263352404464
was39016298013179128167
6.554087629801315372124172
months,42796298013189147204235292331349
with46486298013178100133190
a48586298013149
me‑49276298013189141175
dian2976644801316184133192
of3193644801316898
4.53316644801316381136
months34866448013191151211244304344
(1–17).3855644801313887138185230260276
A41566448013174
ureter42556448013167100153187239272
≥345606448013167120
mm47136448013192183
was49296448013181132173
detected29766598013162117152205256294348410
in3412659801313292
935306598013163
children36196598013159119142166227260314374
(41%)4019659801313890137214240
and42856598013160120182
a44926598013160
renal4578659801314296156207231
pelvis48346598013171127151203227268
≥529766748013165117
mm31146748013190179
in3317674801311976
193414674801315398
children35336748013149106128150209240292350
(86%).3907674801312576129209234249
The41766748013151111164
statistical4360674801314176125157179218253275323373395
analysis47756748013150108156179227267288327
demonstrated29766898013160114203262321361396428478511562623
a36236898013158
significant3706689801314971130188210237263312362421453
association4183689801315898139197247269318350373431490
between46976898013169124157240292346405
a29767048013150
transverse3050704801314274124182221272324355396449
diameter3523704801316890138227281314365396
of3943704801316795
the40627048013142101154
renal4240704801314092150199221
pelvis44857048013169123146195218257
<847747048013165116
mm49227048013190179
and29767198013150108168
evidence31687198013162111134193246304353404
of3597719801316695
grade37167198013168100150210263
IV–V4003719801313187140195
vesicoureteral42227198013158110150172220276335366418451502534584606
reflux4853719801314092118145202249
(p2976734801313093
=30957348013177
0.037)3197734801316584140192242273
as34967348013161102
well36337348013182137161184
as38437348013161102
between39717348013172128163248303359419
a44167348013161
parenchymal45027348013172125158212272323383431525576600
thickness2976749801313491113161206265318358397
<833937498013166116
mm35297498013190178
and37277498013150107166
evidence39137498013154102125183236293341392
of4325749801315886
grade4432749801315990140199251
IV–V4707749801312075127181
vesi‑49087498013149101141162194
coureteral29767648013149105163194246279330361411433
reflux3433764801313384110137194241
(p3698764801312990
=38127648013165
0.019).3901764801315472125173218244259