Fernández Escribano A, García Meseguer C, Pastor Abascal I, Larrauri Martínez M, Navarro Torres M
Sección de Nefrología, Clínica Infantil La Paz, Madrid.
An Esp Pediatr. 1989 Dec;31(6):570-4.
54 neonates found to have pelvic dilatation on sonography are reported. They were studied by IVP, voiding cystography and renal function tests. Periodic sonography, urine cultures and DPTA furosemide in severe cases were performed during the follow-up (3-32 months). The ectasias were classified in 4 grades, found a good correlation with urography in grades I, III and IV. Neonatal pelvic dilatation is associated with: 1) urinary tract infection (17.4%); 2) vesicoureteric reflux (25.5%); 3) ureteropelvic obstruction (17.4%). During the follow-up 52% of ectasia disappeared (x: 6 months) and 11% will required pieloplasty (x: 10 months). It is noteworthy the high rate of initial and further urinary tract infection (53% of patients).
报告了54例经超声检查发现有盆腔扩张的新生儿。对他们进行了静脉肾盂造影(IVP)、排尿性膀胱尿道造影和肾功能检查。在随访期间(3至32个月),对严重病例进行了定期超声检查、尿培养和二巯基丁二酸(DMSA)速尿试验。扩张分为4级,发现I级、III级和IV级与尿路造影有良好的相关性。新生儿盆腔扩张与以下情况相关:1)尿路感染(17.4%);2)膀胱输尿管反流(25.5%);3)肾盂输尿管梗阻(17.4%)。随访期间,52%的扩张消失(平均时间:6个月),11%需要进行肾盂成形术(平均时间:10个月)。值得注意的是,初始和进一步尿路感染的发生率很高(53%的患者)。