Problemi non correnti
Urologia malformativa: diagnosi prenatale e follow-up postnatale
PRENATAL DIAGNOSIS AND POSTNATAL FOLLOW-UP OF UROPATHIES
ANTONIO SAVANELLI1, SILVANA RUSSO1, GIANFRANCO VALLONE2, GIOVANNI ESPOSITO1
1Dipartimento di Pediatria, Cattedra di Chirurgia Pediatrica, 2II Cattedra di Radiologia, Università degli Studi Federico II di Napoli
Aprile 1997 - pagg. 233 -239
Abstract
The Authors report their experience on 100
newborns diagnosed in utero by ultrasound
as having some kind of uropathy. The concordance
between prenatal and postnatal
diagnosis was 53%. Prenatal ultrasound
was shown to be a very sensitive tool for
diagnosing cystic renal malformations and
hydronephrosis but was not capable of distinguishing
the obstructive cases from those
consequent to vescico-ureteral reflux.
At present, ultrasound in utero is not useful
for programming a surgical intervention on
the fetus with hydronephrosis or for anticipating
delivery, but may play some role in
planning adequate and timely postnatal
diagnostic and therapeutic interventions.
Classificazione MeSH
Bibliografia
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11. Thorup J, Montersen T, Diemer H, Johnsen A et al: The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero. J Urol 134, 914-917, 1985.
2. Garrett WJ, Grunwald G, Robinson DE: Prenatal diagnosis of polycystic kidney by ultrasound. Aust NZJ Obstet Gynaecol 10, 7, 1970.
3. Avni EF, Rodesch F, Schulman CC: Fetal uropathies: diagnosic pitfalls and management. J Urol 134, 921-925, 1985.
4. Gruenewald SM, Cohen RC, Antico VF, Farlow DC et al: Diagnosis and treatment of antenatal uropathies. J Paediatr Child Health 26, 142-147, 1990.
5. Harrison MR, Golbus MS, Filly RA et al: Fetal surgery for congenital hydronephrosis. N Engl J Med 306, 591, 1982.
6. Paduano L, Ciglio L, Bembi B, Peratoner L, Benussi G: Clinical outcome of fetal uropathy. II. Sensivity of echography for prenatal detection of obstructive pathology. J Urol 146, 1097-8, 1991.
7. Diament MJ, Fine RN, Ehrlich R, Kangarloo H: Fetal hydronephrosis: problems in diagnosis and management. J Ped 103, 435, 1983.
8. Kramer SA: Current status of fetal intervention for congenital hydronephrosis. J Urol 130, 641, 1983.
9. Harrison MR, Filly RA, Parer JT et al: Mamagement of the fetus with a urinary tract malformation. JAMA 246, 635, 1981.
10. Harrison MR, Golbus MS, Filly RA, Nakayama DK et al: Management of the fetus with congenital hydronephrosis. J Ped Surg 17, 728, 1982.
11. Thorup J, Montersen T, Diemer H, Johnsen A et al: The prognosis of surgically treated congenital hydronephrosis after diagnosis in utero. J Urol 134, 914-917, 1985.