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“先天性”肾积水:胎儿超声诊断的局限性

'Congenital' hydronephrosis: limitations of diagnosis by fetal ultrasonography.

作者信息

Rickwood A M, Harney J V, Jones M O, Oak S

机构信息

Department of Paediatric Urology, Royal Liverpool Children's Hospital, UK.

出版信息

Br J Urol. 1995 Apr;75(4):529-30. doi: 10.1111/j.1464-410x.1995.tb07277.x.

DOI:10.1111/j.1464-410x.1995.tb07277.x
PMID:7788265
Abstract

OBJECTIVE

To determine whether children presenting clinically with pelvi-ureteric junction obstruction had fetal hydronephrosis.

PATIENTS AND METHODS

Forty-three children, born during or after 1985, presented clinically with pelvi-ureteric junction obstruction. Records of the maternal pregnancies were reviewed with reference to the findings of any fetal ultrasonography.

RESULTS

In 25 patients fetal ultrasonography was performed at or beyond 30 weeks' gestation (mean 33.2). None had significant fetal hydronephrosis.

CONCLUSION

Hydronephrosis due to pelvi-ureteric obstruction is not necessarily congenital and patients presenting clinically may differ inherently from those detected fetally.

摘要

目的

确定临床上表现为肾盂输尿管连接处梗阻的儿童是否存在胎儿肾积水。

患者与方法

43名于1985年期间或之后出生、临床上表现为肾盂输尿管连接处梗阻的儿童。参考任何胎儿超声检查结果,对其母亲孕期记录进行回顾。

结果

25名患者在妊娠30周及以后进行了胎儿超声检查(平均33.2周)。均无明显胎儿肾积水。

结论

肾盂输尿管梗阻所致肾积水不一定是先天性的,临床上出现症状的患者可能与胎儿期检测出的患者存在本质差异。

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