Rao Pravin K, Palmer Jeffrey S
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
ScientificWorldJournal. 2009 Jul 13;9:606-14. doi: 10.1100/tsw.2009.85.
The majority of pregnant women in the U.S. undergo prenatal ultrasonography and approximately 0.5% of these examinations will detect fetal malformations. Up to one-half of these abnormalities include the genitourinary system and the most common urological finding is hydronephrosis. Some conditions associated with prenatal hydronephrosis portend a poor prognosis, while others can follow a fairly benign course. This review focuses on the definition and prenatal assessment of hydronephrosis, fetal intervention, and postnatal management.
美国大多数孕妇会接受产前超声检查,其中约0.5%的检查会发现胎儿畸形。这些异常情况中,多达一半涉及泌尿生殖系统,最常见的泌尿系统检查结果是肾积水。一些与产前肾积水相关的病症预后不佳,而其他一些病症可能病程较为良性。本综述重点关注肾积水的定义、产前评估、胎儿干预及产后管理。