Paduano L, Giglio L, Bembi B, Peratoner L, D'Ottavio G, Benussi G
Department of Pediatric Surgery, Istituto per l'Infanzia Burlo Garofolo, Trieste, Italy.
J Urol. 1991 Oct;146(4):1094-6. doi: 10.1016/s0022-5347(17)38009-6.
Clinical followup was performed in 73 neonates with a prenatal echographic suspicion of uropathy. Of 42 patients with a prenatal suspicion of unilateral hydronephrosis only 15 had pathological obstruction and 2 had multicystic dysplastic kidneys. Among 10 infants with a prenatal suspicion of bilateral hydronephrosis only 1 had true bilateral obstruction and 2 had unilateral obstruction. In 2 patients hydroureteronephrosis seen on prenatal echography was due to massive bilateral vesicoureteral reflux. In this group there was also a multicystic dysplastic kidney and 1 patient with bilateral cystic dysplasia. There was a prenatal suspicion of cystic disease in 8 infants. Postnatally, diagnosis was multicystic dysplastic kidney in 2 patients and a simple renal cyst in 4. The remaining 2 neonates had obstructive uropathy. Finally, of 13 neonates with a prenatal suspicion of anatomical-echo-structural abnormalities a definitive abnormality could be established in only 8. The predictive value of prenatal echography positive for obstructive uropathy was 34.6%.
对73例产前超声怀疑患有泌尿系统疾病的新生儿进行了临床随访。在42例产前怀疑单侧肾积水的患者中，只有15例存在病理性梗阻，2例患有多囊性发育不良肾。在10例产前怀疑双侧肾积水的婴儿中，只有1例存在真正的双侧梗阻，2例存在单侧梗阻。在2例患者中，产前超声检查发现的肾盂积水是由大量双侧膀胱输尿管反流引起的。该组中还有1例多囊性发育不良肾和1例双侧囊性发育不良患者。有8例婴儿产前怀疑患有囊性疾病。出生后，2例患者诊断为多囊性发育不良肾，4例为单纯性肾囊肿。其余2例新生儿患有梗阻性泌尿系统疾病。最后，在13例产前怀疑存在解剖回声结构异常的新生儿中，只有8例能够确定存在明确的异常。产前超声检查对梗阻性泌尿系统疾病呈阳性的预测价值为34.6%。
