STRUCTURAL GENITOURINARY DEFECTS DETECTED INUTERO

被引:112
作者
MANDELL, J
BLYTH, BR
PETERS, CA
RETIK, AB
ESTROFF, JA
BENACERRAF, BR
机构
[1] BRIGHAM & WOMENS HOSP,DEPT RADIOL,BOSTON,MA 02115
[2] BRIGHAM & WOMENS HOSP,DEPT OBSTET & GYNECOL,BOSTON,MA 02115
关键词
FETUS; GENITOURINARY SYSTEM; US STUDIES; ABNORMALITIES; HYDRONEPHROSIS; KIDNEY; DYSPLASIA;
D O I
10.1148/radiology.178.1.1984303
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Fetal genitourinary anomalies are detected with increasing frequency due to the large numbers of fetuses that undergo screening ultrasonography (US) for nonspecific indications. One hundred seventy-seven patients were evaluated for fetal urinary abnormalities over a 2-year period. Fetal hydronephrosis accounted for 154 (87%) of the cases, with the remaining diagnoses including multicystic dysplastic kidney, autosomal recessive polycystic kidney disease, and renal agenesis or hypodysplasia. Ureteropelvic junction obstruction was the most common postnatal anatomic abnormality (29%), with a large number of cases of prenatally diagnosed hydronephrosis resolving either prenatally (33%) or postnatally (24%). Prenatal US findings were retrospectively analyzed with regard to the degree of hydronephrosis at different stages of gestation. Data showed that there is a gradual rise in anteroposterior renal pelvic diameter during gestation and that there is a correlation between this diameter and the ultimate renal outcome in regard to surgical repair. This information can provide guidance in making recommendations to parents and physicians.
引用
收藏
页码:193 / 196
页数:4
相关论文
共 8 条
[1]   ROUTINE FETAL GENITOURINARY TRACT SCREENING [J].
ARGER, PH ;
COLEMAN, BG ;
MINTZ, MC ;
SNYDER, HP ;
CAMARDESE, T ;
ARENSON, RL ;
GABBE, SG ;
AQUINO, L .
RADIOLOGY, 1985, 156 (02) :485-489
[2]   MANAGEMENT OF THE FETUS WITH CONGENITAL HYDRONEPHROSIS .2. PROGNOSTIC CRITERIA AND SELECTION FOR TREATMENT [J].
GLICK, PL ;
HARRISON, MR ;
GOLBUS, MS ;
ADZICK, NS ;
FILLY, RA ;
CALLEN, PW ;
MAHONY, BS ;
ANDERSON, RL ;
DELORIMIER, AA .
JOURNAL OF PEDIATRIC SURGERY, 1985, 20 (04) :376-387
[3]   URINARY-TRACT DILATATION INUTERO - CLASSIFICATION AND CLINICAL-APPLICATIONS [J].
GRIGNON, A ;
FILION, R ;
FILIATRAULT, D ;
ROBITAILLE, P ;
HOMSY, Y ;
BOUTIN, H ;
LEBLOND, R .
RADIOLOGY, 1986, 160 (03) :645-647
[4]   ANTENATAL DIAGNOSIS OF URINARY-TRACT ABNORMALITIES - CORRELATION OF ULTRASOUND APPEARANCE WITH POSTNATAL DIAGNOSIS [J].
GRUENEWALD, SM ;
CROCKER, EF ;
WALKER, AG ;
TRUDINGER, BJ .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1984, 148 (03) :278-283
[5]  
HELIN I, 1986, PEDIATRICS, V78, P879
[6]  
HODDICK WK, 1985, J ULTRAS MED, V4, P85
[7]   SONOGRAPHIC ANALYSIS OF THE FETUS WITH URETEROPELVIC JUNCTION OBSTRUCTION [J].
KLEINER, B ;
CALLEN, PW ;
FILLY, RA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1987, 148 (02) :359-363
[8]   POSTPARTUM EVALUATION OF FETAL HYDRONEPHROSIS - OPTIMAL TIMING FOR FOLLOW-UP SONOGRAPHY [J].
LAING, FC ;
BURKE, VD ;
WING, VW ;
JEFFREY, RB ;
HASHIMOTO, B .
RADIOLOGY, 1984, 152 (02) :423-424