Rubecz I, Kodela I, Gasztonyi V, Zörényi I
Zala Megyei Tanács Kórház-Rendelöintézete, Zalaegerszeg.
Orv Hetil. 1991 Mar 17;132(11):585-9.
During a 6 years' period (2 years of control, 2 years of risk group and 2 years of routine screening) the authors examined the effect of different diagnostical methods on the frequency of detected renal developmental anomalies. The incidence of documented renal malformations was 1.1% during the use of classical diagnostical methods, 8.3% during the application of intrauterine routine and postnatal risk group screening, and 10.3% after the introduction of postnatal routine screening in 2 years' periods. The advantage of both postnatal risk group and postnatal routine screening was that the greatest part of renal anomalies could have been diagnosed before the appearance of the symptoms of urinary infection. On the basis of effectivity of postnatal routine screening and decrease of uncertainty of postnatal risk group screening authors suggested the introduction of the postnatal routine screening as general practice under our own circumstances.
在6年期间(2年对照期、2年风险组期和2年常规筛查期),作者研究了不同诊断方法对检测到的肾脏发育异常频率的影响。在使用经典诊断方法期间,记录的肾脏畸形发生率为1.1%;在应用宫内常规和产后风险组筛查期间,发生率为8.3%;在引入产后常规筛查2年期间后,发生率为10.3%。产后风险组筛查和产后常规筛查的优势在于,大部分肾脏异常可以在尿路感染症状出现之前被诊断出来。基于产后常规筛查的有效性以及产后风险组筛查不确定性的降低,作者建议在我们自己的情况下将产后常规筛查作为常规做法引入。