Dhombres F, Jouannic J-M, Brodaty G, Bessiere B, Daffos F, Bénifla J-L
Service de Gynécologie-Obstétrique, Hôpital Rothschild, Paris, France.
Ultrasound Obstet Gynecol. 2007 Jul;30(1):101-4. doi: 10.1002/uog.3998.
Hydrocolpos may be associated with a lower urinary tract obstruction in a spectrum of urorectal malformations ranging from persistent urogenital sinus to cloacal dysgenesis. As cloacal dysgenesis carries the worst postnatal prognosis, detailed prenatal ultrasound should focus on the fetal pelvic anatomy to provide the parents with appropriate prenatal counseling. We report three cases of fetal hydrocolpos associated with low urinary tract obstructions, including two with a normal appearance of the anal canal and rectum on prenatal ultrasound and one with a complex cloacal malformation which contributed to the precise prenatal assignment of the malformation in each case within the spectrum of urogenital sequence malformations.
在一系列从持续性泌尿生殖窦到泄殖腔发育不全的泌尿直肠畸形中，阴道积水可能与下尿路梗阻相关。由于泄殖腔发育不全具有最差的出生后预后，详细的产前超声检查应聚焦于胎儿盆腔解剖结构，以便为父母提供适当的产前咨询。我们报告了3例与下尿路梗阻相关的胎儿阴道积水病例，其中2例产前超声显示肛管和直肠外观正常，1例伴有复杂的泄殖腔畸形，这有助于在泌尿生殖序列畸形范围内对每个病例的畸形进行精确的产前诊断。
