产前超声诊断及病理确诊的后尿道瓣膜症一例：病例报告
A case of posterior urethral valve diagnosed by ultrasound in antenatal and pathology: A case report.
作者信息
Gao Jinmei, Guan Yunping, Kang Junling, Zhang Wei
机构信息
Department of Ultrasound, Shenyang Maternity and Child Health Hospital, Shenyang, Liaoning Province, China.
Department of Pathology, Shenyang Maternity and Child Health Hospital, Shenyang, Liaoning Province, China.
出版信息
Medicine (Baltimore). 2024 Dec 20;103(51):e40961. doi: 10.1097/MD.0000000000040961.
RATIONALE
Posterior urethral valve is a rare disease, prenatal diagnosis and prognosis evaluation are particularly important.
PATIENT CONCERNS
A 25-year-old pregnant woman was found enhanced parenchymal echo in both kidneys, subcapsule urinary cyst formation in both kidneys, bladder enlargement of the fetus during prenatal ultrasonography at 25 W + 4 of gestation. It was accompanied by fetal pericardial effusion and oligohydramnios.
DIAGNOSES
Fetal posterior urethral valve.
INTERVENTIONS
After detailed prenatal evaluation, labor was induced and fetal autopsy was performed.
OUTCOMES
Fetal autopsy pathology confirmed the prenatal judgment.
LESSONS
Prenatal ultrasonography can diagnose posterior urethral valve through typical image manifestations and can make a certain judgment for prognosis evaluation.
理论依据
后尿道瓣膜是一种罕见疾病，产前诊断及预后评估尤为重要。
患者情况
一名25岁孕妇，在妊娠25周+4天进行产前超声检查时发现双肾实质回声增强、双肾包膜下尿囊肿形成，胎儿膀胱增大，伴有胎儿心包积液及羊水过少。
诊断
胎儿后尿道瓣膜。
干预措施
经过详细的产前评估后引产并进行胎儿尸检。
结果
胎儿尸检病理证实产前判断。
经验教训
产前超声可通过典型图像表现诊断后尿道瓣膜，并可对预后评估做出一定判断。
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