[Evaluation of a three-year (1988-1990) prenatal screening of malformative uropathies in the department of Puy-de-Dôme].
During a 3-year period, 93 prenatal diagnoses of kidney or urinary tract abnormalities were carried out in the French district of Puy-de-Dôme. Sixty-nine mothers were resident in this area giving an incidence of 2.8 out of 1000 births. The pregnancy was interrupted in 10 cases, there were 2 stillbirths and three infants died within two months of life. The most frequent abnormalities were: hydronephrosis (48% of cases), megaureter with or without ureter duplication (19%) and multicystic dysplasia (16%). The prenatal diagnosis was confirmed after birth in 82% of cases. Of the 56 infants with obstructive uropathies, 17 underwent a pyeloplasty within three months of life, 32 had conservative treatment, of whom 4 were operated on afterwards, and seven could not be traced. Of the seven infants who had normal ultrasound scan at birth, three had abnormal scan during the follow-up one of whom was operated on. Nephrectomy was not performed in any of the 11 cases of multicystic dysplasia: one patient was lost to follow up, three had stable lesions and in seven cases, the size of the cysts decreased.
Palcoux
J B
JB
Clinique médicale infantile, Hôtel-Dieu, Clermont-Ferrand, France.
Lemery
D
D
Vanlieferinghen
P
P
Desvignes
V
V
Francannet
P
P
Dechelotte
P
P
D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000517:prevention & control; D015994:Incidence; D007231:Infant, Newborn; D007668:Kidney / Q000002:abnormalities*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000517:prevention & control; D008297:Male; D008403:Mass Screening; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014513:Ureter / Q000002:abnormalities; D014551:Urinary Tract / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014570:Urologic Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000517:prevention & control
Bilan du dépistage anténatal des uropathies malformatives sur 3 ans (1988-1990) dans le département du Puy-de-Dôme.