Anadoliyska A, Bueva A, Marinova S
Clinic of Pediatric Nephrology and Dialysis, University of Sofia, Bulgaria.
Srp Arh Celok Lek. 1996;124 Suppl 1:205-7.
US screening in pregnancy is the most useful and reliable examination for prenatal diagnosis. It permits the identification of a larger proportion of urinary tract malformations (UTM). The present study was undertaken to assess the diagnostic accuracy of antenatal US in risk population. The authors report 18 cases of fetal urinary abnormalities revealed by US. In 17 infants the prenatal diagnosis was confirmed precisely revealing: hydronephrosis-2 cases, VUR III-V degree--5 cases, multicystic kidney--3 cases, megacyst--3 cases, posterior urethral valves and VUR-2 cases and polycystic disease--2 cases. A false positive diagnosis in utero occurred in one case. There were no false negative diagnoses. US is a valuable tool in antenatal diagnosis of UTM.
美国孕期超声检查是产前诊断最有用且可靠的检查方法。它能识别出更大比例的泌尿系统畸形（UTM）。本研究旨在评估产前超声对高危人群的诊断准确性。作者报告了18例超声检查发现的胎儿泌尿系统异常病例。在17例婴儿中，产前诊断得到确切证实，具体情况如下：肾盂积水2例、III - V度膀胱输尿管反流5例、多囊肾3例、巨膀胱3例、后尿道瓣膜合并膀胱输尿管反流2例、多囊疾病2例。有1例出现了宫内假阳性诊断。无假阴性诊断。超声是产前诊断泌尿系统畸形的一项有价值的工具。
