Audry G, Doublet J D, Belas M, Sirinelli D, Boccon-Gibod L, Bruézière J, Gruner M
Ann Urol (Paris). 1987;21(2):95-7.
Ultrasonography has profoundly modified the diagnostic conditions of polycystic renal dysplasia in children. Non-palpable forms, which were previously most frequently missed, can now be detected during the antenatal period. In infants, ultrasonography generally provides a definite diagnosis, which can be confirmed by aspiration-opacification of the cysts. On the basis of a series of 40 cases and a review of the literature, the authors discuss the therapeutic implications of these new data. Surgery remains essential in cases of palpable polycystic renal dysplasia, especially when it is complicated. However, in the sub-clinical forms, as the risks of malignant degeneration and the incidence of post-operative complications are minimal in the one case and undefinable in the other, surgical excision is possible but not essential.
超声检查已深刻改变了儿童多囊性肾发育不良的诊断条件。以前最常被漏诊的不可触及型，现在可在孕期检测到。对于婴儿，超声检查通常能做出明确诊断，通过囊肿穿刺显影可进一步证实。基于40例病例系列及文献回顾，作者讨论了这些新数据的治疗意义。对于可触及的多囊性肾发育不良病例，手术仍然至关重要，尤其是在伴有并发症时。然而，对于亚临床型，由于恶变风险在一方面极小，而术后并发症发生率在另一方面又无法确定，手术切除可行但并非必要。
