[Detection of fetal urinary obstructions requiring therapy in routine prenatal ultrasound].

R Thiel, T A Vögeli, R Ackermann
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Abstract

Routine ultrasound during pregnancy is also performed for the detection of fetal malformations. This retrospective study comprises 31 children treated for urinary tract infection within 19 months postnatally. The charts of the young patients were evaluated how often a dilatation of the upper urinary tract (more than 3 cm in diameter) was observed already during pregnancy. In 18 patients (58%) the dilatation was detected antenatally and was missed in 13 (42%). Reasons of the low sensitivity may include low technical standard of the sonographic equipment and limited skill of the investigators.

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【常规产前超声检查需要治疗的胎儿尿路梗阻】。
常规超声在怀孕期间也进行胎儿畸形的检测。本回顾性研究包括31名在出生后19个月内接受尿路感染治疗的儿童。年轻患者的图表评估了怀孕期间观察到的上尿路扩张(直径超过3cm)的频率。在18例(58%)患者中,产前发现扩张,13例(42%)漏诊。灵敏度低的原因可能包括超声设备的技术标准不高和检查人员的技术水平有限。
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[Symposium on Uterine Contraction and Beginning of Labor. Aachen, September 1993]. [Uterine contraction and labor onset. Overview]. [Control of labor onset in the human]. [Biochemical principles of cervix ripening and dilatation]. [Role of the cervix uteri at labor onset from ultrasound studies].
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