胎儿泌尿系统疾病的临床结局
Clinical outcome of fetal uropathy.
作者信息
Madarikan B A, Hayward C, Roberts G M, Lari J
机构信息
Regional Centre for Paediatric Surgery, University Hospital of Wales, Cardiff.
出版信息
Arch Dis Child. 1988 Aug;63(8):961-3. doi: 10.1136/adc.63.8.961.
Abstract
Thirty seven infants (27 boys and 10 girls) whose uropathy had been diagnosed antenatally were reviewed at a mean age of 24.4 months. Antenatal ultrasonography was found to be an accurate detector of renal disease, as uropathy was subsequently confirmed in 33 of the 37 infants (89%). A smaller proportion of patients required operations than in other series reported. Shortly after birth the kidney undergoes physiological adjustments and investigation may be carried out too soon. It should be delayed, especially if the infant is well. The timing of postnatal ultrasonography is important and the advice of a paediatric urologist should be sought before investigations are carried out.
摘要
对37例产前诊断为泌尿系统疾病的婴儿（27例男婴和10例女婴）进行了回顾性研究，这些婴儿的平均年龄为24.4个月。产前超声检查被发现是肾脏疾病的准确检测手段，因为在这37例婴儿中有33例（89%）随后被确诊为泌尿系统疾病。与其他报道的系列研究相比，需要手术治疗的患者比例较小。出生后不久，肾脏会经历生理调整，检查可能进行得太早。应该推迟检查，尤其是如果婴儿情况良好。产后超声检查的时机很重要，在进行检查之前应征求小儿泌尿科医生的建议。
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