胎儿肾积水：选择与手术修复

Fetal hydronephrosis: selection and surgical repair.

作者信息

Harrison M R, Golbus M S, Filly R A, Anderson R L, Flake A W, Rosen M, Huff R W

出版信息

J Pediatr Surg. 1987 Jun;22(6):556-8. doi: 10.1016/s0022-3468(87)80221-x.

Abstract

Newly developed diagnostic techniques allowed us to select a fetus with potentially reversible renal damage from the usually fatal group with bilateral hydronephrosis and severe oligohydramnios early in gestation. Fetal surgery to marsupialize the fetal bladder at 24 weeks gestation restored normal amniotic fluid dynamics and allowed sufficient pulmonary and renal development to insure survival after delivery near term.

摘要

新开发的诊断技术使我们能够在妊娠早期从通常致命的双侧肾积水和严重羊水过少组中选择出具有潜在可逆性肾损伤的胎儿。在妊娠24周时进行胎儿膀胱造袋术的胎儿手术恢复了正常的羊水动力学，并允许足够的肺和肾发育，以确保在接近足月分娩后存活。