Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system)
Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system)
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DOI：
10.1016/j.jpurol.2014.10.002
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发表时间：
2014-12-01
影响因子：
2
通讯作者：
Stein, Deborah R.
中科院分区：
文献类型：
--
作者：
Nguyen, Hiep T.;Benson, Carol B.;Stein, Deborah R.
目的：1-2%的胎儿超声检查发现尿路扩张，反映了一系列可能的泌尿系疾病。产前UT扩张个体的临床管理存在显著差异，这源于缺乏将产前UT扩张的严重程度与出生后泌尿系统病理学相关的循证信息。产前和产后US结果与最终泌尿系诊断之间缺乏相关性一直是个问题，这在很大程度上是因为在定义和分类UT扩张方面缺乏共识和统一性。因此，需要一个统一的分类系统，具有公认的标准术语，用于产前和产后UT扩张的诊断和管理。
Objective: Urinary tract (UT) dilation is sonographically identified in 1-2% of fetuses and reflects a spectrum of possible uropathies. There is significant variability in the clinical management of individuals with prenatal UT dilation that stems from a paucity of evidence-based information correlating the severity of prenatal UT dilation to postnatal urological pathologies. The lack of correlation between prenatal and postnatal US findings and final urologic diagnosis has been problematic, in large measure because of a lack of consensus and uniformity in defining and classifying UT dilation. Consequently, there is a need for a unified classification system with an accepted standard terminology for the diagnosis and management of prenatal and postnatal UT dilation.