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題 名 | Postnatal Evaluation and Management of Fetal Upper Urinary Tract Dilatation=胎兒上泌尿道擴張之產後評估與處理 |
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作 者 | 顏舜隆; 林秋微; 楊麗芳; 鄭欽火; 陳天啟; | 書刊名 | 慈濟醫學 |
卷 期 | 6:1 1994.03[民83.03] |
頁 次 | 頁15-24 |
分類號 | 417.343 |
關鍵詞 | 胎兒上泌尿道擴張; 同位素利尿劑腎臟攝影; Fetal upper urinary tract dilatation; Tc-99m DTPA diuretic renal scan; |
語 文 | 英文(English) |
中文摘要 | 胎兒上泌尿道擴張是常見的一種先天性畸形。本院於1992年IS月至1993 年7月六個月之間,從18!位孕婦之例行產前超音波檢查,偵測得知四位胎兒之六 個腎臟的腎孟腎盞有擴張的現象。吾人採保守性療法,而以腎臟超音波或同位素 利尿劑腎臟攝影檢查來追蹤這些病例;其中四個腎臟病變放六個月之內自行恢復 正常,另兩個腎臟病變則放六個月之內漸漸惡化,最後接受了外科的矯正治療。 對於此類病例,同位素腎臟攝影在區分功能性阻塞與非阻塞病變上,是一個很好 的檢查方法。本篇報告與文獻上有一相同的發現,那就是這些非阻塞性上泌尿道 擴張絕大多數均可自行恢復。吾人建議,六個月之內每隔2至3個月之追蹤,乃是 評估與處理這類疾病可行的措施。(慈濟醫學1994;6:15-24) |
英文摘要 | Fetal upper urinary tract dilatation is a commonly encountered birth defect. Six renal unitsin 4 fetuses from 181 consecutive pregnant women were demonstrated to have dilated upper urinary tract by routine, obstetric ultrasonography since December 1992 to July 1993. In the postnatal period these cases were managed conservatively and followed by renal echogram and Tc99m diethylene triamine penta-acetic acid (DTPA) diuretic renal scan as needed. Four of thesesix units (66.7) resolved spontaneously within 1 to 6 months. The other two lesions deterioratedwithin 6 months and surgical intervention was required. Diuretic renal scan is an optimal methodto differentiate functionally significant obstruction from nonobstruction or physiologic variants. Thepotential of spontaneous resolution for nonobstructive lesion was appreciated. For all suspectedcases, careful observation at 2 to 3-month intervals for a period of 6 months is recommended. (Tzu-Chi Med J 1994; 6: 15-24) |
本系統中英文摘要資訊取自各篇刊載內容。