Vilits P, Ring E, Petritsch P H, Rauchenwald M, Colombo T, Hubmer G
Universitätsklinik für Urologie, Graz.
Wien Klin Wochenschr. 1995;107(23):736-8.
During the period January 1983 to December 1993 malformations of the urinary tract were suspected in 166 cases prenatally and confirmed after birth. Boys dominated (72% of cases); in 66% of the cases the malformation was unilateral. The most frequent diagnosis was ureteropelvic obstruction in 74 infants (45%). 73 out of 166 infants (44%) required surgical intervention. Altogether 124 operations were performed (68% temporary diversions; 32% definitive corrections). The high number of required interventions already during the first month of life highlights the importance of prenatal screening for the early detection of urinary tract malformations, especially obstructive uropathy and multicystic-dysplastic kidney. On the other hand, vesicouretal reflux is usually detected only postnatally on investigation of a urinary tract infection.
在1983年1月至1993年12月期间，166例产前怀疑有泌尿系统畸形的病例在出生后得到确诊。男性占主导（72%的病例）；66%的病例畸形为单侧。最常见的诊断是74例婴儿（45%）的肾盂输尿管梗阻。166例婴儿中有73例（44%）需要手术干预。总共进行了124次手术（68%为临时改道；32%为确定性矫正）。出生后第一个月内就需要进行大量干预，这突出了产前筛查对早期发现泌尿系统畸形，尤其是梗阻性肾病和多囊性发育不良肾的重要性。另一方面，膀胱输尿管反流通常仅在出生后因尿路感染进行检查时才被发现。
