Attardo G, Corsello G, Giordano G, La Grutta S, Pagano G, Piccione M, Piro E, Rossi C, Vitaliti S M
Cattedra di Patologia Neonatale, Università di Palermo, Italia.
Pediatr Med Chir. 1992 Mar-Apr;14(2):119-26.
Prenatal diagnosis and postnatal follow-up of urinary tract congenital malformations are discussed. Among 9501 overall births, 25 newborns with urinary tract congenital malformations were born (2.6 x 1,000). Twenty cases had been diagnosed "in utero" by ultrasound scan (4 cases of Potter sequence, 2 cases of prune-belly anomaly, 3 cases of polymalformed infants with urinary involvement, 10 cases of hydronephrosis, 1 case of ectopic kidney). In 8 newborns a surgical treatment was successfully performed. Eight newborns died and in other 4 cases clinical and ultrasonographic are not yet fulfilled. In 2 cases the prenatal diagnosis of urinary tract malformations was not confirmed by the postnatal evaluation. Our experience shows that the prenatal diagnosis of congenital malformations of urinary tract is particularly useful, even considering the opportunities of perinatal management and postnatal surgical treatment in several cases.
本文讨论了先天性泌尿系统畸形的产前诊断及产后随访情况。在9501例总出生数中，有25例新生儿患有先天性泌尿系统畸形（2.6‰）。其中20例在子宫内通过超声扫描确诊（4例波特序列征、2例梅干腹畸形、3例合并泌尿系统畸形的多发畸形婴儿、10例肾积水、1例异位肾）。8例新生儿成功接受了手术治疗。8例新生儿死亡，另外4例的临床及超声检查结果尚未明确。2例泌尿系统畸形的产前诊断未得到产后评估的证实。我们的经验表明，即使考虑到围产期管理及部分病例的产后手术治疗机会，先天性泌尿系统畸形的产前诊断仍特别有用。
