Smith D, Egginton J A, Brookfield D S
Br Med J (Clin Res Ed). 1987 Jan 3;294(6563):27-8. doi: 10.1136/bmj.294.6563.27.
Over three years all infants in this hospital found to have an abnormality of the urinary tract on antenatal scanning were followed up after delivery with contrast radiography. Disease of the renal tract was confirmed in 17 of 20 infants. Of the 15 survivors, 12 underwent surgery in the first year of life. Abnormality of the fetal urinary tract detected by ultrasound scanning seems to be an important indicator of disease of the renal tract. Before its use is extended, however, further assessment of the benefit of antenatal diagnosis and of the best time to scan is required.
在三年时间里,这家医院所有在产前扫描中被发现有泌尿道异常的婴儿在出生后都接受了造影检查随访。20名婴儿中有17名被确诊为肾脏疾病。15名存活婴儿中,有12名在出生后的第一年接受了手术。超声扫描检测到的胎儿泌尿道异常似乎是肾脏疾病的一个重要指标。然而,在扩大其应用范围之前,需要进一步评估产前诊断的益处以及最佳扫描时间。