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单侧多囊性肾发育不良:超声产前诊断

Unilateral multicystic renal dysplasia: Prenatal diagnosis on ultrasound.

作者信息

Pandya Vaidehi K, Sutariya Harsh C

机构信息

Department of Radio Diagnosis and Imaging, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Centre - Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.

出版信息

Saudi J Kidney Dis Transpl. 2017 Jul-Aug;28(4):916-920.

Abstract

Multicystic renal dysplasia (MCRD) is the most common cause of abnormally enlarged kidney, diagnosed on antenatal ultrasound examination. It is an abnormality of the embryonic development in which the renal parenchyma is substituted by nonfunctioning renal tissue made up of cysts which do not communicate with each other. Vesicoureteric reflux (VUR), pelviureteric junction obstruction, vesicoureteric junction obstruction, and ureterocele are the most commonly seen abnormalities in contralateral kidney. Here, we report a case of prenatal diagnosis of unilateral MCRD with VUR in contralateral kidney. In conclusion, we want to emphasize optimal use of ultrasound imaging to detect such abnormalities as early as possible to guide the proper management.

摘要

多囊性肾发育不良(MCRD)是产前超声检查诊断出的肾脏异常增大的最常见原因。它是一种胚胎发育异常,其中肾实质被由互不连通的囊肿组成的无功能肾组织所替代。膀胱输尿管反流(VUR)、肾盂输尿管连接处梗阻、膀胱输尿管连接处梗阻和输尿管囊肿是对侧肾脏最常见的异常情况。在此,我们报告一例产前诊断为单侧MCRD且对侧肾脏伴有VUR的病例。总之,我们想强调要优化利用超声成像尽早检测出此类异常,以指导恰当的处理。

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