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男性胎儿的会阴正中矢状面——评估泌尿生殖系统疾病的关键。

The perineal midsagittal view in male fetuses - pivotal for assessing genitourinary disorders.

机构信息

Service de Radiologie, Hôpital d'Enfants Armand-Trousseau APHP, Sorbonne Université, Paris, France.

Service de Médecine Fœtale, Hôpital d'Enfants Armand-Trousseau APHP, Sorbonne Université, Paris, France.

出版信息

Pediatr Radiol. 2020 Apr;50(4):575-582. doi: 10.1007/s00247-019-04551-w. Epub 2019 Nov 9.

DOI:10.1007/s00247-019-04551-w
PMID:31707446
Abstract

A wide range of genitourinary pathologies can be diagnosed in utero, from a simple vesicoureteral reflux to a more complex disorder of sexual differentiation. The prognosis and neonatal management of these conditions differ significantly. Evaluation of the fetal perineal anatomy is paramount to making the right diagnosis. The aim of this pictorial essay is to show sonographers how to acquire a perineal midsagittal view in a male fetus, and to demonstrate how this specific view allows assessment of the urethra and penis, to differentiate various genitourinary pathologies.

摘要

在子宫内可以诊断出多种泌尿生殖系统疾病,从简单的膀胱输尿管反流到更复杂的性别分化障碍。这些情况的预后和新生儿管理有很大的不同。评估胎儿会阴部解剖结构对于正确诊断至关重要。本文旨在向超声医师展示如何在男性胎儿中获得会阴正中矢状切面,并展示该特定切面如何用于评估尿道和阴茎,以区分各种泌尿生殖系统疾病。

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本文引用的文献

1
Fetal megacystis: A systematic review.胎儿巨膀胱:一项系统评价。
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Posterior urethral valves and vesicoureteral reflux: can prenatal ultrasonography distinguish between these two conditions in male fetuses?后尿道瓣膜与膀胱输尿管反流:产前超声检查能否区分男性胎儿的这两种情况?
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Outcome and etiologies of fetal megacystis according to the gestational age at diagnosis.根据诊断时的孕周分析胎儿巨膀胱的结局及病因。
Prenat Diagn. 2013 Dec;33(12):1162-6. doi: 10.1002/pd.4215. Epub 2013 Sep 3.
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Anorectal Malformations: Finding the Pathway out of the Labyrinth.肛门直肠畸形:走出迷宫的路径。
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Sonographic measurement of corpus spongiosum in male fetuses.男性胎儿海绵体的超声测量。
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Diagnostic approach in prenatally detected genital abnormalities.产前检测到生殖器异常的诊断方法。
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Keyhole sign: how specific is it for the diagnosis of posterior urethral valves?钥匙孔征:对后尿道瓣膜诊断的特异性如何?
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Imaging recommendations in paediatric uroradiology: minutes of the ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007.儿科泌尿放射学的影像检查建议:欧洲儿科放射学会(ESPR)关于尿路感染、胎儿肾积水、泌尿系统超声检查及排尿性膀胱尿道造影工作组会议纪要,西班牙巴塞罗那,2007年6月
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Interventions for primary vesicoureteric reflux.原发性膀胱输尿管反流的干预措施。
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