Clarke N W, Gough D C, Cohen S J
Department of Paediatric Surgery, Booth Hall Hospital, Manchester.
Arch Dis Child. 1989 Apr;64(4):578-80. doi: 10.1136/adc.64.4.578.
Ninety one patients with urinary tract abnormalities diagnosed before birth were reviewed. Diagnoses based on prenatal and postnatal ultrasound scans alone were compared with the final diagnoses after full urological investigations, with operative or necropsy confirmation in 79 cases. The results confirmed that ultrasound examination before birth usually detects nonspecific abnormalities and although scanning after birth is more accurate it is not absolutely reliable. A diagnosis of "multicystic kidney' made on ultrasound scan alone is especially prone to error. Such mistakes can be avoided if full urological investigation is undertaken in every case.
对91例产前诊断为尿路异常的患者进行了回顾性研究。将仅基于产前和产后超声扫描的诊断与经过全面泌尿外科检查后的最终诊断进行了比较，其中79例经手术或尸检证实。结果证实，产前超声检查通常能发现非特异性异常，虽然产后扫描更准确，但也并非绝对可靠。仅通过超声扫描做出的“多囊肾”诊断尤其容易出错。如果对每例患者都进行全面的泌尿外科检查，此类错误是可以避免的。
