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肾盂积水的超声分级:胎儿泌尿学会使用的系统介绍。

Ultrasound grading of hydronephrosis: introduction to the system used by the Society for Fetal Urology.

作者信息

Fernbach S K, Maizels M, Conway J J

机构信息

Department of Radiology, Children's Memorial Hospital, Chicago, IL 60614.

出版信息

Pediatr Radiol. 1993;23(6):478-80. doi: 10.1007/BF02012459.

DOI:10.1007/BF02012459
PMID:8255658
Abstract

The Society for Fetal Urology (SFU) was founded in 1988 to study the postnatal evolution of prenatally detected anomalies of the urinary tract by following those neonates whose prenatal studies have brought them to medical attention while asymptomatic. The SFU has attempted to standardize methods of performing and grading the ultrasound and radionuclide examinations in this population. A system to grade upper tract dilatation or hydronephrosis (HN) imaged by ultrasound has been developed and is being used by SFU members in 36 institutions. The appearance of the calices, renal pelvis and renal parenchyma are key in determining the grade of HN and are illustrated in this article.

摘要

胎儿泌尿外科学会(SFU)成立于1988年,旨在通过跟踪那些在无症状时因产前检查而引起医疗关注的新生儿,研究产前检测到的尿路异常在出生后的演变情况。SFU试图规范对这一人群进行超声和放射性核素检查的方法及分级。一种对超声成像的上尿路扩张或肾盂积水(HN)进行分级的系统已经开发出来,并被36个机构的SFU成员使用。肾盏、肾盂和肾实质的外观是确定HN分级的关键,本文对此进行了说明。

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本文引用的文献

1
Medical versus surgical treatment of primary vesicoureteral reflux: report of the International Reflux Study Committee.原发性膀胱输尿管反流的药物治疗与手术治疗:国际反流研究委员会报告
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Fetal uropathies: diagnostic pitfalls and management.胎儿泌尿系统疾病:诊断陷阱与管理
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Urinary tract dilatation in utero: classification and clinical applications.胎儿期泌尿道扩张:分类及临床应用
Predictive tools and scoring systems for surgical intervention in antenatal hydronephrosis and pelviureteric junction obstruction: An ATLAS based on comprehensive review of literature.
产前肾积水和肾盂输尿管连接处梗阻手术干预的预测工具和评分系统:基于文献综合综述的图谱
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Can the degree of ureteral stone impaction better predict surgical success and complications? a new classification system.输尿管结石嵌顿程度能否更好地预测手术成功率和并发症?一种新的分类系统。
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Understanding ureteropelvic junction obstruction: how far have we come?了解肾盂输尿管连接处梗阻:我们取得了多大进展?
Front Urol. 2023 Apr 19;3:1154740. doi: 10.3389/fruro.2023.1154740. eCollection 2023.
6
Longitudinal image-based prediction of surgical intervention in infants with hydronephrosis using deep learning: Is a single ultrasound enough?基于深度学习的肾盂积水婴儿手术干预的纵向图像预测:单次超声检查够吗?
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Comparison of urinary tract dilation and society for fetal urology classifications in predicting indication and success of pyeloplasty in ureteropelvic junction obstruction.在预测肾盂输尿管连接部梗阻肾盂成形术的指征和成功率方面,比较尿路扩张与胎儿泌尿外科学会的分类。
Int Urol Nephrol. 2025 May 24. doi: 10.1007/s11255-025-04578-z.
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Can ultrasound parameters predict the diagnostic yield of diuretic renal scintigraphy in pediatric hydronephrosis?超声参数能否预测小儿肾积水利尿肾动态显像的诊断率?
PLoS One. 2025 May 19;20(5):e0324446. doi: 10.1371/journal.pone.0324446. eCollection 2025.
Radiology. 1986 Sep;160(3):645-7. doi: 10.1148/radiology.160.3.3526402.
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Ureteropelvic junction obstruction in the neonate.新生儿肾盂输尿管连接部梗阻
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Clinical outcome of fetal uropathy. I. Predictive value of prenatal echography positive for obstructive uropathy.胎儿泌尿系统疾病的临床结局。I. 产前超声检查对梗阻性泌尿系统疾病呈阳性的预测价值。
J Urol. 1991 Oct;146(4):1094-6. doi: 10.1016/s0022-5347(17)38009-6.
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Grading nephroureteral dilatation detected in the first year of life: correlation with obstruction.一岁以内检测到的肾盂输尿管扩张分级:与梗阻的相关性
J Urol. 1992 Aug;148(2 Pt 2):609-14; discussion 615-6. doi: 10.1016/s0022-5347(17)36668-5.
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Nonoperative management of unilateral neonatal hydronephrosis.单侧新生儿肾积水的非手术治疗
J Urol. 1992 Aug;148(2 Pt 2):525-31. doi: 10.1016/s0022-5347(17)36644-2.
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The "well tempered" diuretic renogram: a standard method to examine the asymptomatic neonate with hydronephrosis or hydroureteronephrosis. A report from combined meetings of The Society for Fetal Urology and members of The Pediatric Nuclear Medicine Council--The Society of Nuclear Medicine.“良好调节”利尿肾图:一种检查无症状肾积水或输尿管肾盂积水新生儿的标准方法。胎儿泌尿外科学会与儿科核医学委员会成员——核医学学会联合会议报告。
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