Aprile 1997 - Volume XVI - numero 4
Problemi non correnti
1Dipartimento di Pediatria, Cattedra di Chirurgia Pediatrica, 2II Cattedra di Radiologia, Università degli Studi Federico II di Napoli
Key words: Prenatal diagnosis, Ultrasound, Uropathy, Vescico-ureteral reflux, Congenital malformations
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.
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Unità Operativa di Pediatria, Ospedale S. Maria degli Angeli, Pordenone
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