Gruenewald S M, Crocker E F, Walker A G, Trudinger B J
Am J Obstet Gynecol. 1984 Feb 1;148(3):278-83. doi: 10.1016/s0002-9378(84)80068-x.
A review was made of the natural history of the urinary tract abnormalities diagnosed antenatally in 18 fetuses in order to correlate the ultrasound appearance with subsequent postnatal diagnosis and prognosis. Unilateral disease, both obstruction and multicystic renal disease, was associated with a good prognosis. Bilateral dysplastic kidneys had a very poor prognosis. The antenatal ultrasound demonstration of bladder distention and/or hydronephrosis, however, does not always signify true obstruction of the urinary tract. This is important in view of the recent introduction of in utero interventions to preserve renal function and prevent pulmonary hypoplasia.
对18例产前诊断出的泌尿系统异常胎儿的自然病史进行了回顾，以便将超声表现与随后的产后诊断及预后相关联。单侧疾病，包括梗阻性和多囊性肾病，预后良好。双侧发育不良性肾脏预后极差。然而，产前超声显示膀胱扩张和/或肾积水并不总是意味着真正的尿路梗阻。鉴于最近引入了宫内干预措施以保护肾功能并预防肺发育不全，这一点很重要。
