Watson A R, Readett D, Nelson C S, Kapila L, Mayell M J
City Hospital, Nottingham.
Arch Dis Child. 1988 Jul;63(7 Spec No):719-22. doi: 10.1136/adc.63.7_spec_no.719.
Over a five year period 55 fetuses had abnormalities of the urinary tract detected by antenatal ultrasound scan. The incidence was 1:935 total births during a one year prospective study. Intrauterine intervention was undertaken in five for suspected obstructive uropathy, which was confirmed in only two. Of 51 live born infants, five died (two with renal failure), and only 18 (35%) had a clinically detectable abnormality at birth. Twenty seven patients underwent postnatal operations, the remainder being treated conservatively. Antenatal counseling was seldom undertaken by those responsible for the postnatal care. There were many instances of prospective parents receiving little or inappropriate information. Greater cooperation is required between all the staff concerned particularly as the natural history and appropriate postnatal management of some urinary tract abnormalities are still not known.
在五年期间，通过产前超声扫描检测出55例胎儿存在泌尿系统异常。在一项为期一年的前瞻性研究中，其发生率为每935例总出生数中有1例。对5例疑似梗阻性尿路病的胎儿进行了宫内干预，其中仅2例得到证实。在51例活产婴儿中，5例死亡（2例死于肾衰竭），出生时仅有18例（35%）有临床可检测到的异常。27例患者接受了产后手术，其余患者接受保守治疗。负责产后护理的人员很少进行产前咨询。有很多准父母很少或没有得到适当信息的情况。所有相关工作人员之间需要加强合作，特别是因为一些泌尿系统异常的自然病史和适当的产后管理仍不清楚。
