Noia G, Masini L, Caruso A, Perrelli L, Calisti A, Salvaggio E, Mancuso S
Istituto Clinica Ostetrica Ginecologica, Università Cattolica del Sacro Cuore, Roma, Italia.
Fetal Ther. 1989;4 Suppl 1:40-51. doi: 10.1159/000263465.
We discuss data on urinary tract dilatations diagnosed in utero from February 1980 to May 1988. Over 8,900 pregnancies prenatally investigated with ultrasound during second and third trimester in our center. We diagnosed 401 fetal defects (4.5%) with 121 urinary system anomalies (1.35%). In 90 cases (1.01%) urinary tract dilatation was present, representing the most frequent urinary pathology in utero (74.3% of all urinary anomalies). We describe some diagnostic findings as particularly useful in differential diagnosis of functional and obstructive conditions, stressing the possibility and the difficulty of diagnostic accuracy for urinary tract anomalies. The perinatal outcome of each condition is reported.
我们讨论了1980年2月至1988年5月期间在子宫内诊断出的尿路扩张数据。在我们中心，超过8900例妊娠在孕中期和晚期接受了超声产前检查。我们诊断出401例胎儿缺陷（4.5%），其中121例泌尿系统异常（1.35%）。90例（1.01%）存在尿路扩张，这是子宫内最常见的泌尿系统病变（占所有泌尿系统异常的74.3%）。我们描述了一些诊断结果，这些结果在鉴别功能性和梗阻性疾病时特别有用，强调了尿路异常诊断准确性的可能性和难度。报告了每种情况的围产期结局。
