Prenatal hydronephrosis

被引:34
作者
Roth, JA [1 ]
Diamond, DA [1 ]
机构
[1] Harvard Univ, Sch Med, Childrens Hosp, Dept Urol, Boston, MA 02115 USA
关键词
D O I
10.1097/00008480-200104000-00009
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Prenatal hydronephrosis is diagnosed with an incidence of 1:100 to 1:500 maternal-fetal ultrasonographic studies. Although ultrasonography accurately describes dilation of the renal collecting system, it cannot define mechanical obstruction, a functional characteristic. The purpose of prenatal screening has changed from simple detection of hydronephrosis to selection for specific diagnosis-based management. The natural history of prenatal hydronephrosis is difficult to determine, and therefore physicians who take care of the fetus and infant are challenged with the following question: when does dilation of the renal collecting system indicate that serious pathology (ongoing renal deterioration) exists? The diagnosis of prenatal hydronephrosis, indications for and timing of prenatal intervention, and recommendations for treating children with a history of prenatal hydronephrosis are included in this review. (C) 2001 Lippincott Williams & Wilkins, Inc.
引用
收藏
页码:138 / 141
页数:4
相关论文
共 26 条
[1]   Prenatal bladder outlet obstruction secondary to ureterocele [J].
Austin, PF ;
Cain, MP ;
Casale, AJ ;
Hiett, AK ;
Rink, RC .
UROLOGY, 1998, 52 (06) :1132-1135
[2]   Prenatal diagnosis of hydronephrosis: Impact on renal function and its recovery after pyeloplasty [J].
Capolicchio, G ;
Leonard, MP ;
Wong, C ;
Jednak, R ;
Brzezinski, A ;
Salle, JLP .
JOURNAL OF UROLOGY, 1999, 162 (03) :1029-1032
[3]   Does early detection of ureteropelvic junction obstruction improve surgical outcome in terms of renal function? [J].
Chertin, B ;
Fridmans, A ;
Knizhnik, M ;
Hadas-Halperin, I ;
Hain, D ;
Farkas, A .
JOURNAL OF UROLOGY, 1999, 162 (03) :1037-1040
[4]  
Cornford PA, 1998, BRIT J UROL, V81, P152
[5]  
DHILLON H, 1998, PEDIATR RADIOL, V28, P530
[6]  
Diamond DA, 1999, PEDIAT NEPHROLOGY, P897
[7]  
EBEI K, 1998, PEDIATR RADIOL, V28, P630
[8]  
Gonzalez Ricardo, 1998, Archivos Espanoles de Urologia, V51, P575
[9]   Antenatal hydronephrosis and ureteropelvic junction obstruction: The case for early intervention [J].
Hanna, MK .
UROLOGY, 2000, 55 (05) :612-615
[10]  
Harding LJ, 1999, PRENATAL DIAG, V19, P701, DOI 10.1002/(SICI)1097-0223(199908)19:8<701::AID-PD621>3.0.CO