Progress on prenatal and postnatal evaluation and management of antenatal hydronephrosis

VernacularTitle:胎儿肾积水产前和出生后评估及管理的研究进展
Author: Bingjie CHENG ¹ ; Lin HUANG ; Xiaowen WANG
Author Information

1. 华中科技大学同济医学院附属武汉儿童医院肾内科　430014
Keywords: Hydronephrosis; Assessment; Management; Diagnostic grading
From: International Journal of Pediatrics 2024;51(8):523-527
CountryChina
Language:Chinese
Abstract: Antenatal hydronephrosis（AHN）is the most common congenital anomalies of kidney and urinary tract（CAKUT）detected through prenatal ultrasound screening.Approximately two-thirds of AHN are physiological and can be relieved spontaneously after birth，while AHN may be aggravated in some cases，resulting in deterioration of kidney function or severe complications and requiring surgical intervention.Currently，there is a lack of consensus on the prenatal and postnatal management of AHN，making it crucial to stratify the risk for affected children and establish appropriate follow-up plans.This article reviews the clinical assessment and management of AHN in prenatal and postnatal settings based on domestic and international literature，with the goal of raising AHN awareness among families of high-risk children and alleviating anxiety and excessive intervention for families of low-risk children，ultimately promoting individualized diagnosis and treatment.