Mollard P, Gounot E, Pracros J P, Coicaud C
Hôpital Debrousse, Lyon, France.
Pediatrie. 1988;43(9):757-62.
From 1981 to 1987, the authors observed 69 patients with ureteropelvic junction obstruction diagnosed by antenatal ultrasound, representing a total of 77 pathological renal units. Seventy renal units were treated by ureteropelvic resection, one renal unit returned to normal without treatment. There were 3 primary nephrectomies and 3 secondary nephrectomies for non-improvement after percutaneous nephrostomy. An early antenatal surgical management of ureteropelvic obstruction after antenatal ultrasound diagnosis does not seem to give better results than when diagnosis is made at a later stage. The interest of the antenatal diagnosis is not as important as for other uropathies such as urecterocele, mega-ureter or posterior urethral valves.
1981年至1987年期间，作者观察了69例经产前超声诊断为肾盂输尿管连接处梗阻的患者，共涉及77个病理肾单位。70个肾单位接受了肾盂输尿管切除术治疗，1个肾单位未经治疗自行恢复正常。有3例行一期肾切除术，3例行二期肾切除术，原因是经皮肾造瘘术后病情未改善。产前超声诊断后对肾盂输尿管梗阻进行早期手术治疗，其效果似乎并不比后期诊断时进行手术治疗更好。产前诊断的意义不如其他泌尿系统疾病（如输尿管膨出、巨输尿管或后尿道瓣膜）那么重要。
