患有分离的产前水解的儿童的结局
Esra Nagehan Akyol Onder1, Omer Yilmaz2, Can Taneli3
1Department of Pediatric Nephrology, School of Medicine, Manisa Celal Bayar University, Manisa, Turkey.
概括
产前水 (ANH) 通常会自发消失,特别是在轻微的病例中. 然而,严重的ANH可能会进展,在少数患者中需要监测和潜在的手术干预.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 产前诊断 在产前诊断
- 医疗成像医学成像
背景情况:
- 产前水 (ANH) 是产前超声波的常见发现.
- 产后ANH的管理显示出相当大的变化.
- 了解ANH的结果对于临床决策至关重要.
研究的目的:
- 为了分析产前水缩 (ANH) 的结果.
- 为了确定ANH的自发分辨率.
- 确定影响ANH进展的因素和手术干预需求.
主要方法:
- 对227名患有264个被诊断为ANH的脏单位的患者进行了回顾性研究.
- 根据骨前后直径和胎儿泌尿学会分级的ANH严重程度的分类.
- 随访时间从6个月到136个月不等 (中位数为48个月).
主要成果:
- 自发解决率很高:91.9% (轻度),81.2% (中度) 和37.5% (严重).
- 高等级的ANH需要更长的分辨时间.
- 只有6%的病例需要手术;没有患者出现蛋白尿或高血压.
结论:
- 轻度ANH表现出极好的结果,具有高自发分辨率.
- 疾病的进展可能会发生,特别是在前六个月内,即使是轻度的ANH.
- 需要进一步的研究来澄清与所有程度的ANH相关的尿路异常风险.
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