先天性泌尿系畸形的产前诊断和早期治疗

先天性泌尿系畸形常致梗阻性肾积水,病变呈进行性发展,导致严重的后果。本研究的目的在于证明先天性泌尿系畸形肾积水产前诊断的可能性和早期治疗的必要性。作者对１９８７年１月至１９９０年１月三年间收治的１１例产前诊断并经早期治疗的先天性泌尿系畸形肾积水患儿随诊研究,并将本组５例（６侧）先天性肾盂输尿管连接处狭窄性肾积水与同期收治的２８例（３３侧）非产前诊断的先天性肾盂输尿管连接部狭窄性肾积水患儿进行对照。通过临床所见,尿液系列肾功能检查及特殊肾功能检查结果进行对比分析。结果表明先天性泌尿系畸形产前诊断是可能的,早期治疗是必要的,并提出了早期手术的指征。

Prenatal diagnosis and early treatment of congenital urological deformites

children were treated in our hospital from 1987 to 1990 for the congenital urological defomities, They were diagnosed prenatally and were treated early after birth ,and 5 of them were compared with 28 children who had been treated in the same hospital in the same stage for hydronephrosis due to the congenital pelvic ureter stenosis,that was not prenatally diagnosed.Analysis of a series of renal functional test, special methods and clinical study, showed the possibility of prenatal diagnosis and the necessary of early treatment of congenital urological deformities.