The postnatal outcome and prognostic cut-off value of fetal pyelectasia / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
;
: 823-827, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-26100
ABSTRACT
OBJECTIVE:
The purpose of our study was to evaluate the postnatal outcome of fetal pyelectasia and to assess the cut-off value for prediction of renal pathologic processes and surgical intervention. MATERIALS ANDMETHODS:
Seventy-seven cases of pyelectasia were identified during the study period (1996 through 2000). Fetuses with antero-posterior pelvic diameter (APPD) >or=7 mm after 28 weeks were included. Postnatal evaluation included renal sonogram, voiding cystourethrogram, and renal flow and function studies.RESULTS:
Renal pathologic processes after birth were found in 38 of 77 cases (49%). Ureteropelvic junction obstruction (19 cases, 50%) was the most common, followed by 4 cases of duplicated kidney, 3 cases of ureterovesical junction obstruction, 2 cases of primary vesicoureteral reflux, dysplastic kidney, extrarenal pelvis respectively and 1 case of ureterocele. Surgical intervention was performed in 21 cases (55%); pyeloplasty (13), nephrectomy (including partial) (3), transurethral incision of ureterocele (2), uretero- ureterostomy (1), uretero-cystostomy (2). Using cut-off value derived from receiver operating characteristic (ROC) curve, renal APPD >or=10.5 mm, >or=13.6 mm after 28 weeks gestation could predict the fetuses who would have renal pathologic processes and need surgical intervention, with sensitivity and specificity of 77.5%, 79.4% and 90.5%, 89.3%, respectively.CONCLUSION:
It is possible to predict the fetuses who would require appropriate urologic evaluation and surgical intervention after birth, with determining the renal pelvic diameter in the third trimester of pregnancy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Processos Patológicos
/
Pelve
/
Terceiro Trimestre da Gravidez
/
Ureterocele
/
Refluxo Vesicoureteral
/
Ureterostomia
/
Curva ROC
/
Sensibilidade e Especificidade
/
Parto
/
Feto
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Obstetrics and Gynecology
Ano de publicação:
2002
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS