Fong K W, Rahmani M R, Rose T H, Skidmore M B, Connor T P
AJR Am J Roentgenol. 1986 Apr;146(4):767-73. doi: 10.2214/ajr.146.4.767.
Renal cystic disease encompasses a complex group of pathologic and clinical entities, with varied yet distinctive sonographic features. An accurate assessment of the fetal genitourinary tract and the amniotic fluid volume by sonography can lead to a specific prenatal diagnosis in most cases. This article emphasizes the usefulness of sonographic-pathologic correlation in understanding renal cystic disease. The entities discussed are infantile polycystic kidney disease (Osathanondh and Potter type I), multi-cystic renal dysplasia (type II), adult polycystic kidney disease (type III) and renal cystic dysplasia associated with obstructive uropathy (type IV). Sonograms of six correctly diagnosed cases between November 1982 and November 1984 were retrospectively reviewed and correlated with their pathologic findings. The differential diagnosis and possible pitfalls are discussed. In addition, the impact on perinatal management and the role of genetic counselling will be emphasized.
肾囊性疾病涵盖了一组复杂的病理和临床实体，具有多样但独特的超声特征。大多数情况下，通过超声对胎儿泌尿生殖道和羊水量进行准确评估可得出特异性的产前诊断。本文强调了超声-病理相关性在理解肾囊性疾病中的作用。所讨论的实体包括婴儿型多囊肾（Osathanondh和Potter I型）、多囊性肾发育不良（II型）、成人型多囊肾（III型）以及与梗阻性尿路病相关的肾囊性发育不良（IV型）。回顾性分析了1982年11月至1984年11月间6例诊断正确病例的超声图像，并将其与病理结果进行关联。文中讨论了鉴别诊断及可能出现的问题。此外，还将强调其对围产期管理的影响以及遗传咨询的作用。
