共查询到20条相似文献，搜索用时 15 毫秒
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Craig A. Peters 《黑龙江环境通报》2001,21(11):917-923
Fetal models of urinary tract disease have been used for many years and have provided unique and important insights into the pathophysiology of these conditions. This review will summarize the principal model systems used and the current directions of investigation. These models (including rabbit, opossum, sheep and recently swine) have demonstrated that in utero obstruction of the urinary tract alters renal growth, differentiation and produces stereotypical patterns of tissue response, particularly fibrosis. New molecular understanding of these processes has identified specific mechanisms that may be key elements in the development of renal dysfunction due to obstruction. These factors include the renin–angiotensin system (RAS) and its interaction with TGF-β in altering growth regulation and tissue fibrosis. These factors offer the prospect of clinical utility as markers of disease progression as well as pharmacologic therapy. Gene knockout systems have opened a new horizon of molecular models of congenital obstructive uropathy with insights into the role of the RAS in particular. It remains to be defined how closely these knockouts represent the human conditions they resemble. Continued application of fetal models of urinary obstruction, integrating large animal and knockout systems offers promise for improved diagnosis and treatment in these challenging conditions. Copyright © 2001 John Wiley & Sons, Ltd. 相似文献
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Ariel Weissman Reuwen Achiron M.D. Jacob Kuint Shlomo Lipitz Shlomo Mashiach Itamar Avigad 《黑龙江环境通报》1994,14(9):888-891
A case of gastric outlet obstruction diagnosed prenatally at 22 weeks' gestation is described. The differential diagnosis and the clinical management of this rare condition are discussed, and an updated literature review is presented. 相似文献
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Catherine Donner M.D. Corinne Liesnard Françoise Brancart Frederic Rodesch 《黑龙江环境通报》1994,14(11):1055-1059
Cytomegalovirus (CMV) is the most common cause of intrauterine infection. Recent publications show amniocentesis to have an 81–100 per cent sensitivity in antenatal diagnosis after 21 weeks' gestation. Testing before 21 weeks' gestation is less well documented. We performed 36 amniocenteses between 14 and 20 weeks' gestation. The sensitivity was 45 per cent and the specificity 100 per cent. Implications and possible causes of this low sensitivity are discussed. 相似文献
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Flavia F. Correa Coral Lara José Bellver José Remohí Antonio Pellicer Vicente Serra 《黑龙江环境通报》2006,26(1):52-56
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Yuri Perlitz Leandro Keselman Sami Haddad Maggie Mukary Ido Izhaki Moshe Ben-Ami 《黑龙江环境通报》2011,31(13):1283-1285
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Tullio Ghi Giovanni Tani Luca Savelli Giulia Gandolfi Colleoni Gianluigi Pilu Luciano Bovicelli 《黑龙江环境通报》2003,23(12):970-975
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Yukiko Watanabe Seiji Abe Kenjiro Takagi Tatsuo Yamamoto Toshinori Kato 《黑龙江环境通报》2005,25(13):1217-1222
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U. Elchalal MD I. Ben-Shachar M. Nadjari E. Gross Z. Appleman B. Caspi 《黑龙江环境通报》1995,15(12):1160-1164
A case report of sacrococcygeal teratoma prenatally diagnosed at 23 weeks of amenorrhea, subsequently causing dilatation of both lower and upper urinary tracts is presented. The importance of repeated ultrasonographic evaluation of fetuses with sacrococcygeal teratoma is discussed. 相似文献
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Min Chen Chin Peng Lee Rebecca Tang Ben Chan Chun Quan Ou Mary Hoi Yin Tang 《黑龙江环境通报》2006,26(8):703-706
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We report a case of fetus in fetu presented as a complex intra-abdominal heterogeneous cystic lesion during ultrasound examination of the fetus at 25 weeks of gestation. Progressive growth of this mass was noted in the prenatal period. Fetal magnetic resonance imaging provided additional information to aid in the prenatal diagnosis. This allows proper counselling for the parents and helps to plan the postnatal management. Surgical excision was carried out in the early neonatal period and the diagnosis of fetus in fetu was confirmed. Copyright © 2007 John Wiley & Sons, Ltd. 相似文献
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Intestinal obstruction is not a rarity in the newborn. Its etiology is diverse. Superior mesenteric artery syndrome (SMAS) is a phenomenon in which the duodenum is obstructed by the SMA. This causes bowel obstruction accompanied by duodenal dilatation. It has previously been described in adults and children but rarely in infants. We report for the first time on an intrauterine manifestation of SMAS. Copyright © 2003 John Wiley & Sons, Ltd. 相似文献
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Gastrointestinal tract atresia has an incidence of 1 in 10 000 live-births, while gastric outlet obstruction comprises only approximately 1 per cent of these malformations. A prenatally diagnosed case is described, followed by a discussion regarding the diagnosis and possible associated abnormalities. 相似文献
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E. Machevin-Surugue N. David E. Verspyck G. Labadie G. Blaysat I. Durand V. Ickowicz L. Marpeau 《黑龙江环境通报》2002,22(10):898-902
The dilated coronary sinus (DCS) has only recently been clearly visualised in the fetus due to progress in prenatal echography. This is a retrospective study of 22 fetuses presenting with DCS revealed by prenatal echography. We report the circumstances leading to the detection of a DCS and the neonatal outcome of these fetuses. The coronary sinus was defined as dilated depending on its visualisation in cross-section from the ‘4 chamber’ view, as well as a pseudo inter-atrial septal defect from a more posterior view. In each case the gestational age, circumstances of detection, associated anomalies and postnatal outcome are reported. The circumstances were: evaluation of a clearly identified DCS in four cases and during detailed fetal echocardiography because of suspected congenital heart disease in 18 cases. Five cases were associated with a cardiac anomaly, three with an extracardiac anomaly, six with both cardiac and extracardiac anomaly and eight were isolated. Postnatal outcome was related to the associated anomaly. In conclusion, it is important that the echography image be correctly interpreted, as a DCS often implies possible associated defects and therefore affects prognosis. When not associated with other anomalies this condition is not considered serious. Copyright © 2002 John Wiley & Sons, Ltd. 相似文献
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Laurent Guibaud 《黑龙江环境通报》2009,29(4):420-433
More than 20 years after its introduction, magnetic resonance imaging (MRI) is now considered a useful complementary tool in the imaging work-up of fetal brain structural anomalies, but its real contribution in neuro-fetal imaging is still controversial. Our purpose is to present an overview of the most valuable indications of fetal cerebral MRI in current practice as guided by dedicated ultrasound analysis. On the basis of a review of the literature and our personal experience, we underline herein the real complementarities between these two techniques in different clinical or imaging settings and show how MRI adds significant information compared with ultrasound, especially in the late second and third trimesters. We assess the interest of using MRI from a technical point of view (complete and extensive anatomical analysis, analysis of developmental and pathological processes) and from a practical point of view in different imaging and clinical settings. Copyright © 2009 John Wiley & Sons, Ltd. 相似文献