产前诊断的新生儿肾收集系统重复的发生率和并发症

H. Park, Sung Won Park
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通讯作者Park Sung Won韩国首尔江西区江西路295号江西MizMedi医院儿科电话:+82-2-2007-1323传真:+82-2-2007-7789 E-mail: swped@naver.com ORCID: https://orcid.org/0000-0001-8219-1880通过产前和产后超声检查可以发现胎儿和新生儿的许多先天性异常。本研究旨在评估新生儿肾脏重复发生率,并提供有助于管理这些患者的解决方案。自2001年1月1日至2010年12月31日,我们回顾性分析了113例产前诊断、产后单中心肾超声确诊的新生儿肾收集系统重复畸形。本病例中最常见的泌尿道先天性畸形为肾集系统重复,发生率为0.12%,低于一般1%的发生率。113例患者中有85例(75%)发现不完全重复肾,18例(15.9%)发现完全重复肾。至于是否有其他先天性异常,85例患者中有13例为不完全复制肾,18例患者均为完全复制肾。在我们的研究中,如果没有伴随的并发症,我们建议观察超声检查就足够了,不需要其他评价来判断它们是完整的还是不完整的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The incidence and complications of duplication of the renal collecting system in neonates diagnosed antenatally
Corresponding author Sung Won Park Department of Pediatrics, Gangseo MizMedi Hospital, 295 Gangseo-ro, Gangseo-gu, Seoul 07639, Korea Tel: +82-2-2007-1323 Fax: +82-2-2007-7789 E-mail: swped@naver.com ORCID: https://orcid.org/0000-0001-8219-1880 A lot of congenital anomalies are detected in fetus and newborn through the use of prenatal and postnatal ultrasonography. This study aimed to assess the renal duplication incidences in neonates and provide solutions that would help in managing these patients. From January 1, 2001 to December 31, 2010, we retrospectively analyzed 113 patients with neonatal duplication of the renal collecting system who were diagnosed prenatally and confirmed postnatally kidney ultrasonography at single center. In this case, the duplication of the renal collecting system is the most common congenital malformation of the urinary tract with an incidence of 0.12%, which is lower than the general incidence of 1%. Out of the total 113 patients, the incomplete duplication kidney findings were 85 patients (75%) and complete duplication kidney findings were 18 patients (15.9%). As to whether they had other congenital anomalies, 13 out of 85 patients had incomplete duplication of the kidney and all of 18 patient had complete duplication of kidney. In our study, if there are no accompanying complications, we suggest that observing ultrasonography is sufficient without other evaluation to detect whether they are complete or incomplete.
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