Joseph T P, Gopi V K, Babu P R, Satish Kumar K V
Department of Pediatric Surgery, Baby Memorial Hospital Ltd, Indira Gandhi Road, Calicut, Kerala, India. Correspondence to: Dr Satish Kumar KV, 26/194 A, Sai Sannidhi, Vadakkathparamba, Govindapuram (PO), Calicut 673 016, Kerala, India.
Indian Pediatr. 2017 Apr 15;54(4):295-297. doi: 10.1007/s13312-017-1092-4. Epub 2017 Feb 2.
To analyze the outcome of children with posterior urethral valves who presented with antenatal hydronephrosis.
A 10-year retrospective review of records of 70 children with posterior urethral valves.
The mean (SD) gestational age at diagnosis was 34 (4.48) weeks, and age at intervention was 130.5 (170.9) days. The nadir creatinine was significantly raised (<1.2 mg/dl) in children with oligohydramnios and diversion.
All boys with antenatally detected hydronephrosis need postnatal evaluation to rule out posterior urethral valves. Short term outcome is improved with postnatal treatments, and longer follow-up is needed to ensure a favourable outcome.
分析产前出现肾积水的后尿道瓣膜患儿的治疗结果。
对70例后尿道瓣膜患儿的记录进行10年回顾性分析。
诊断时的平均（标准差）孕周为34（4.48）周，干预时的年龄为130.5（170.9）天。羊水过少和行分流术的患儿肌酐最低点显著升高（<1.2mg/dl）。
所有产前检测出肾积水的男孩都需要产后评估以排除后尿道瓣膜。产后治疗可改善短期治疗结果，需要更长时间的随访以确保良好的治疗效果。
