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小儿泌尿系统扩张的分类：新术语

Classification of pediatric urinary tract dilation: the new language.

作者信息

Chow Jeanne S, Koning Jeffrey L, Back Susan J, Nguyen Hiep T, Phelps Andrew, Darge Kassa

机构信息

Department of Urology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.

Department of Radiology, Boston Children's Hospital, Boston, MA, USA.

出版信息

Pediatr Radiol. 2017 Aug;47(9):1109-1115. doi: 10.1007/s00247-017-3883-0. Epub 2017 Aug 4.

DOI:10.1007/s00247-017-3883-0
PMID:28779200
Abstract

The multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system) was created to unify the language used to describe urinary tract dilation on antenatal and postnatal ultrasound examinations and thereby facilitate communication among providers and improve outcomes research. The background and new classification system are described in this review, with imaging examples.

摘要

关于产前和产后泌尿道扩张分类（UTD分类系统）的多学科共识旨在统一用于描述产前和产后超声检查中泌尿道扩张的术语，从而促进医疗服务提供者之间的沟通并改善结果研究。本综述结合影像学实例描述了其背景和新的分类系统。

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1
Classification of pediatric urinary tract dilation: the new language.小儿泌尿系统扩张的分类：新术语
Pediatr Radiol. 2017 Aug;47(9):1109-1115. doi: 10.1007/s00247-017-3883-0. Epub 2017 Aug 4.
2
Multidisciplinary consensus on the classification of antenatal and postnatal urinary tract dilation (UTD classification system).产前和产后泌尿道扩张分类的多学科共识（UTD分类系统）。
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3
Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system).产前和产后泌尿道扩张分类的多学科共识（UTD分类系统）。
J Pediatr Urol. 2014 Dec;10(6):982-98. doi: 10.1016/j.jpurol.2014.10.002. Epub 2014 Nov 15.
4
Prenatal and postnatal urinary tract dilation: advantages of a standardized ultrasound definition and classification.产前和产后泌尿道扩张：标准化超声定义和分类的优势
J Ultrasound. 2019 Mar;22(1):5-12. doi: 10.1007/s40477-018-0340-3. Epub 2018 Nov 27.
5
2021 update on the urinary tract dilation (UTD) classification system: clarifications, review of the literature, and practical suggestions.《2021年泌尿道扩张（UTD）分类系统更新：阐释、文献综述及实用建议》
Pediatr Radiol. 2022 Apr;52(4):740-751. doi: 10.1007/s00247-021-05263-w. Epub 2022 Jan 4.
6
The antenatal urinary tract dilation classification system accurately predicts severity of kidney and urinary tract abnormalities.产前泌尿道扩张分类系统能准确预测肾脏和泌尿道异常的严重程度。
J Pediatr Urol. 2017 Oct;13(5):485.e1-485.e7. doi: 10.1016/j.jpurol.2017.03.020. Epub 2017 Apr 21.
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The association of postnatal urinary tract dilation risk score with clinical outcomes.产后尿路扩张风险评分与临床结局的关系。
J Pediatr Urol. 2019 Aug;15(4):341.e1-341.e6. doi: 10.1016/j.jpurol.2019.05.001. Epub 2019 May 9.
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Validation of "urinary tract dilation" classification system: Correlation between fetal hydronephrosis and postnatal urological abnormalities.“泌尿道扩张”分类系统的验证：胎儿肾积水与出生后泌尿系统异常之间的相关性。
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Evaluation of Urinary Tract Dilation Classification System for Prediction of Long-Term Outcomes in Isolated Antenatal Hydronephrosis: A Cohort Study.评估尿路扩张分类系统对孤立性产前肾积水长期预后的预测价值：一项队列研究
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Commentary to 'Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system)'.《产前和产后泌尿道扩张分类（UTD分类系统）多学科共识》述评
J Pediatr Urol. 2014 Dec;10(6):998-9. doi: 10.1016/j.jpurol.2014.10.001. Epub 2014 Nov 14.

引用本文的文献

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Reduced kidney size and renal function of high-grade vesicoureteral reflux and intrarenal reflux in contrast-enhanced voiding urosonography.在增强排尿性超声检查中，高级别膀胱输尿管反流和肾内反流导致肾脏大小和肾功能降低。
Front Pediatr. 2024 Dec 18;12:1478436. doi: 10.3389/fped.2024.1478436. eCollection 2024.
2
Clinical characteristics of patients with prenatal hydronephrosis in early postnatal period: a single center retrospective study.早产后期产前肾积水患者的临床特征：一项单中心回顾性研究。
BMC Pediatr. 2023 May 12;23(1):235. doi: 10.1186/s12887-023-04063-5.
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Current and potential methods to assess kidney structure and morphology in term and preterm neonates.

本文引用的文献

1
MRI-based reference range for the renal pelvis anterior-posterior diameter in children ages 0-19 years.基于MRI的0至19岁儿童肾盂前后径参考范围。
Br J Radiol. 2016 Nov;89(1067):20160211. doi: 10.1259/bjr.20160211. Epub 2016 Sep 29.
2
Percent improvement in renal pelvis antero-posterior diameter (PI-APD): Prospective validation and further exploration of cut-off values that predict success after pediatric pyeloplasty supporting safe monitoring with ultrasound alone.肾盂前后径改善百分比（PI-APD）：前瞻性验证及对预测小儿肾盂成形术后成功的临界值的进一步探索，支持仅用超声进行安全监测
J Pediatr Urol. 2016 Aug;12(4):228.e1-6. doi: 10.1016/j.jpurol.2016.04.003. Epub 2016 Jun 3.
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评估足月儿和早产儿肾脏结构及形态的现有方法和潜在方法。
Anat Rec (Hoboken). 2025 Apr;308(4):1229-1250. doi: 10.1002/ar.25195. Epub 2023 Mar 8.
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Renal cortical transit time as a predictor for pyeloplasty in pediatric patients with unilateral hydronephrosis.肾皮质通过时间作为单侧肾积水小儿患者肾盂成形术的预测指标。
World J Nucl Med. 2020 Aug 22;19(4):341-346. doi: 10.4103/wjnm.WJNM_11_20. eCollection 2020 Oct-Dec.
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Urinary Ultrasound and Other Imaging for Ureteropelvic Junction Type Hydronephrosis (UPJHN).输尿管肾盂连接部型肾积水（UPJHN）的超声及其他影像学检查
Front Pediatr. 2020 Sep 16;8:546. doi: 10.3389/fped.2020.00546. eCollection 2020.
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State-of-the-Art Renal Imaging in Children.儿童肾脏影像学的最新技术
Pediatrics. 2020 Feb;145(2). doi: 10.1542/peds.2019-0829. Epub 2020 Jan 8.
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Mild-to-moderate renal pelvis dilatation identified during pregnancy and hospital admissions in childhood: An electronic birth cohort study in Wales, UK.英国威尔士电子出生队列研究：在怀孕期间和儿童住院期间发现的轻度至中度肾盂扩张。
PLoS Med. 2019 Jul 30;16(7):e1002859. doi: 10.1371/journal.pmed.1002859. eCollection 2019 Jul.
8
Rater reliability of postnatal urinary tract dilation consensus classification.产后泌尿道扩张共识分类的评估者信度
Pediatr Radiol. 2018 Oct;48(11):1606-1611. doi: 10.1007/s00247-018-4173-1. Epub 2018 Jun 20.
9
Urinary tract dilation illustrations.尿路扩张示意图。
Pediatr Radiol. 2017 Aug;47(9):1214-1215. doi: 10.1007/s00247-017-3916-8. Epub 2017 Aug 4.
Evaluation of Urinary Tract Dilation Classification System for Grading Postnatal Hydronephrosis.
用于评估产后肾积水分级的尿路扩张分类系统
J Urol. 2016 Mar;195(3):725-30. doi: 10.1016/j.juro.2015.10.089. Epub 2015 Oct 23.
4
Multidisciplinary consensus on the classification of antenatal and postnatal urinary tract dilation (UTD classification system).产前和产后泌尿道扩张分类的多学科共识（UTD分类系统）。
Pediatr Radiol. 2015 Jun;45(6):787-9. doi: 10.1007/s00247-015-3305-0. Epub 2015 Mar 13.
5
Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system).产前和产后泌尿道扩张分类的多学科共识（UTD分类系统）。
J Pediatr Urol. 2014 Dec;10(6):982-98. doi: 10.1016/j.jpurol.2014.10.002. Epub 2014 Nov 15.
6
Characterizing upper urinary tract dilation on ultrasound: a survey of North American pediatric radiologists' practices.超声检查中对上尿路扩张的特征描述：北美儿科放射科医生实践的一项调查。
Pediatr Radiol. 2015 Apr;45(5):686-94. doi: 10.1007/s00247-014-3221-8. Epub 2014 Nov 25.
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Ultrasound as a screening test for genitourinary anomalies in children with UTI.超声检查在儿童尿路感染相关泌尿系统异常筛查中的应用。
Pediatrics. 2014 Mar;133(3):e394-403. doi: 10.1542/peds.2013-2109. Epub 2014 Feb 10.
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Early postoperative ultrasound after open pyeloplasty in children with prenatal hydronephrosis helps identify low risk of recurrent obstruction.儿童产前肾积水行开放肾盂成形术后早期超声检查有助于识别复发性梗阻的低风险。
J Urol. 2012 Dec;188(6):2347-53. doi: 10.1016/j.juro.2012.08.036. Epub 2012 Oct 22.
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Size and volume charts of fetal kidney, renal pelvis and adrenal gland.胎儿肾脏、肾盂和肾上腺的大小和体积图表。
Ultrasound Obstet Gynecol. 2012 Dec;40(6):659-64. doi: 10.1002/uog.11169.
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Imaging recommendations in paediatric uroradiology. Minutes of the ESPR uroradiology task force session on childhood obstructive uropathy, high-grade fetal hydronephrosis, childhood haematuria, and urolithiasis in childhood. ESPR Annual Congress, Edinburgh, UK, June 2008.儿科泌尿放射学的影像学建议。欧洲儿科放射学会（ESPR）泌尿放射学特别工作组关于儿童梗阻性尿路病、重度胎儿肾积水、儿童血尿和儿童尿路结石会议纪要。2008年6月于英国爱丁堡召开的ESPR年会。
Pediatr Radiol. 2009 Aug;39(8):891-8. doi: 10.1007/s00247-009-1233-6. Epub 2009 Jun 30.