Ansari M S, Ayyildiz Halil Suat, Jayanthi V R
Pediatric Urology, Nationwide Children Hospital, Columbus - 432 05, OH, USA.
Indian J Urol. 2009 Oct-Dec;25(4):545-6. doi: 10.4103/0970-1591.57911.
Hydronephrosis is the most common genitourinary anomaly as detected on obstetric ultrasonography and the incidence of associated vesicoureteral reflux is around 10-12%. There is inconsistency in the literature regarding which child should under go a voiding cystourethrogram (VCUG) in cases of antenatal hydronephrosis (AHN). Besides, there is a scarcity of prospective studies to demonstrate the risk of varying degree of AHN, associated reflux and their long-term impact on the kidneys. The present analysis suggests that children with AHN should undergo an ultrasound within the first month of life and further course of action should be decided on the basis of the individual case. Children with persistent moderate to severe AHN should undergo a VCUG and a functional study.
肾积水是产科超声检查中最常见的泌尿生殖系统异常，伴有膀胱输尿管反流的发生率约为10%-12%。关于产前肾积水（AHN）病例中哪些儿童应接受排尿性膀胱尿道造影（VCUG），文献中存在不一致的观点。此外，缺乏前瞻性研究来证明不同程度的AHN、相关反流的风险及其对肾脏的长期影响。目前的分析表明，AHN患儿应在出生后第一个月内接受超声检查，并应根据个体情况决定进一步的治疗方案。持续性中度至重度AHN患儿应接受VCUG和功能检查。
