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[先天性泌尿系统疾病的产前和产后诊断性影像学检查]

[Pre- and postnatal diagnostic imaging of congenital urinary tract disorders].

作者信息

Grundner H G, Leititis J U, Burghard R, Hackelöer B, Brandis M, Joseph K

出版信息

Radiologe. 1986 Apr;26(4):198-201.

PMID:3520641
Abstract

The prenatal diagnosis of urinary tract obstruction was made in 10 neonates. These findings were confirmed postnatally by sonography, urography, voiding cystourethrography, and scintigraphy. There were 8 neonates with unilateral obstruction of the ureter, and 2 with urethral valves and reflux. Nephrectomy because of hydronephrosis was necessary in 2 instances. The prenatal diagnosis of a urinary tract obstruction is of great importance, because the neonate may be operated upon without delay. Thus the diseased kidney can be saved. Diuretic radionuclide urography is helpful in differentiating between dilated obstructed and dilated nonobstructed kidneys.

摘要

10例新生儿被产前诊断为尿路梗阻。这些诊断结果在出生后通过超声检查、尿路造影、排尿性膀胱尿道造影和闪烁扫描得以证实。其中8例新生儿为单侧输尿管梗阻,2例为尿道瓣膜和反流。2例因肾积水而行肾切除术。尿路梗阻的产前诊断非常重要,因为新生儿可立即接受手术,从而挽救患病肾脏。利尿放射性核素尿路造影有助于区分扩张性梗阻性肾和扩张性非梗阻性肾。

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