VALUE OF THREE-DIMENSIONAL ECHOGRAPHY IN CONGENITAL FETAL OBSTRUCTIVE UROPATHIES
- Authors: GUS A.L1, KOSTYUKOV K.V1, LYASHKO E.S2
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Affiliations:
- Academician V. l. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
- A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Issue: No 9 (2013)
- Pages: 46-52
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247029
- ID: 247029
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Abstract
Objective. To define the role of three-dimensional echography in estimating the degree of renal lesion in congenital fetal obstructive uropathies (OU). Subject and methods. A prospective case-control analysis was made in 45 fetuses with obstructive defects of the urinary tract and in 45 fetuses without any malformations at 20 to 40 weeks of gestation, in whom the dilatation of the calycopelvic system (CPS), renal volume parenchyma, and CPS, which were obtained by three-dimensional scanning, were analyzed. Results. Three-dimensional echography (a VOCAL mode) makes it possible to measure, to a high accuracy, the volume of a kidney in obstructive uropathies in the antenatal period. In the above pathology, the CPS volume calculated using the SonoAVC mode may be used as a new marker of the status of urinary tract organs. It can be clinically used to predict a postnatal outcome, namely: a need for postpartum follow-up and treatment. Conclusion. Three-dimensional echography in OU can yield new valuable information that affects pregnancy management tactics, contributes to the making a decision on antepartum radical intervention, and thus reduces the risk of further severe complications and disability in the infant.
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About the authors
A. L GUS
Academician V. l. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: a_gus@oparina4.ru
K. V KOSTYUKOV
Academician V. l. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
Email: k_kostyukov@oparina4.ru
E. S LYASHKO
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Email: elena-lyashko@yandex.ru
Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Training
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