PREDICTIVE VALUE OF FETAL SERUM BETA(2)-MICROGLOBULIN FOR NEONATAL RENAL-FUNCTION

被引:55
作者
BERRY, SM
LECOLIER, B
SMITH, RS
BERCAU, G
DOMBROWSKI, MP
PUDER, KS
KITHIER, K
BIDAT, L
JOHNSON, MP
COTTON, DB
机构
[1] WAYNE STATE UNIV,HUTZEL HOSP,RECEIVING HOSP,DEPT OBSTET & GYNAECOL,DIV REPROD GENET,DETROIT,MI 48201
[2] WAYNE STATE UNIV,HUTZEL HOSP,RECEIVING HOSP,DEPT PATHOL,DETROIT,MI 48201
[3] HOP NOTRE DAME DE BON SECOURS,CTR PRENATAL DIAG,PARIS,FRANCE
来源
LANCET | 1995年 / 345卷 / 8960期
关键词
D O I
10.1016/S0140-6736(95)90928-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
When fetal urinary-tract malformations (UTM) are discovered, management is based on the prediction of postnatal renal function, currently made by fetal urinary biochemistry and sonography, Serum beta(2)-microglobulin has been used postnatally to estimate renal function and does not cross the placenta. We investigated the relation between fetal serum beta(2)-microglobulin and renal function by comparing 64 unaffected fetuses and 15 fetuses with UTM. A beta(2)-microglobulin above a 5.6 mg/L cut-off gave cross-validated sensitivity of 88.9%, specificity of 98.6%, a positive predictive value of 88.9%, and a negative predictive value of 97.1% for our cohort study.
引用
收藏
页码:1277 / 1278
页数:2
相关论文
共 10 条
[1]   BETA 2-MICROGLOBULIN CLEARANCE IN NEONATES - INDEX OF TUBULAR MATURATION [J].
ASSADI, FK ;
JOHN, EG ;
JUSTICE, P ;
FORNELL, L .
KIDNEY INTERNATIONAL, 1985, 28 (02) :153-157
[2]   EVALUATION OF POSTNATAL RENAL-FUNCTION IN FETUSES WITH BILATERAL OBSTRUCTIVE UROPATHIES BY PROTON NUCLEAR-MAGNETIC-RESONANCE SPECTROSCOPY [J].
EUGENE, M ;
MULLER, F ;
DOMMERGUES, M ;
LEMOYEC, L ;
DUMEZ, Y .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1994, 170 (02) :595-602
[3]   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
[4]   BETA2-MICROGLOBULIN - OCCURRENCE IN FETAL LIFE AND MALIGNANCY [J].
KITHIER, K ;
CEJKA, J ;
BELAMARIC, J ;
ALSARRAF, M ;
PETERSON, WD ;
VAITKEVICIUS, VK ;
POULIK, MD .
CLINICA CHIMICA ACTA, 1974, 52 (03) :293-299
[5]   ANTENATAL ULTRASONOGRAPHY TO DETECT FETAL RENAL ABNORMALITIES - A PROSPECTIVE SCREENING-PROGRAM [J].
LIVERA, LN ;
BROOKFIELD, DSK ;
EGGINTON, JA ;
HAWNAUR, JM .
BRITISH MEDICAL JOURNAL, 1989, 298 (6685) :1421-1423
[6]  
NICOLAIDES K H, 1992, Fetal Diagnosis and Therapy, V7, P1
[7]   FETAL URINE BIOCHEMISTRY - AN INDEX OF RENAL MATURATION AND DYSFUNCTION [J].
NICOLINI, U ;
FISK, NM ;
RODECK, CH ;
BEACHAM, J .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1992, 99 (01) :46-50
[8]   SERUM ALPHA-1-MICROGLOBULIN AND BETA-2-MICROGLOBULIN FOR THE ESTIMATION OF FETAL GLOMERULAR RENAL-FUNCTION [J].
NOLTE, S ;
MUELLER, B ;
PRINGSHEIM, W .
PEDIATRIC NEPHROLOGY, 1991, 5 (05) :573-577
[9]  
ONASSON LE, 1974, ACTA OBSTET GYNAECOL, V53, P48
[10]   SERUM BETA2-MICROGLOBULIN IN RENAL-DISEASE [J].
WIBELL, L ;
EVRIN, PE ;
BERGGARD, I .
NEPHRON, 1973, 10 (05) :320-331