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[胎儿梗阻性尿路疾病:产前诊断、产前及产后管理]

[Fetal obstructive uropathies: prenatal diagnosis, prenatal and postnatal management].

作者信息

Di Meglio A, Sica C, Cimmino E, Iacono A G

机构信息

Clinica Ostetrica e Ginecologica, Università degli Studi Federico II di Napoli, Italia.

出版信息

Pediatr Med Chir. 1997 Jan-Feb;19(1):11-4.

PMID:9280901
Abstract

The urinary tract obstruction may depend by: ureteropelvic junction obstruction, vesicoureteric reflux, posterior urethral valves, megacystis-microcolon syndrome. Hydronephrosis accounts for 75% of prenatally diagnosed fetal renal abnormalities with, in many cases, renal dysplasia, oligohydramnios and Potter's sequence. With ultrasound is possible to diagnose most urinary tract obstructions that occurs in 1% of all pregnancy, but only 0.2% have clinical relevance. We have conceived an ultrasonographic protocol to evaluate the renal and urinary tract morphology, the cystis, the amniotic fluid and the external genitalia for a more easy ultrasonographic diagnosis and for the exact pre and postnatal management.

摘要

尿路梗阻可能取决于

肾盂输尿管连接部梗阻、膀胱输尿管反流、后尿道瓣膜、巨膀胱-小结肠综合征。肾积水占产前诊断的胎儿肾脏异常的75%,在许多情况下伴有肾发育不全、羊水过少和波特序列征。超声检查能够诊断出所有妊娠中1%发生的大多数尿路梗阻,但只有0.2%具有临床意义。我们设计了一种超声检查方案,以评估肾脏和尿路形态、膀胱、羊水和外生殖器,以便更轻松地进行超声诊断以及准确的产前和产后管理。

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