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