159例胎儿泌尿系统扩张的病因及预后分析  

The etiopathogenesis and prognosis of 159 cases with fetal urinary dilatation

作　　者：葛群[1] 张国正[1] 伍颖恒[1] 李秀娟（编校） 

机构地区：[1]广东省广州市妇婴医院超声影像科,510180 [2]不详

出　　处：《中国妇幼保健》2007年第5期591-592,共2页Maternal and Child Health Care of China

摘　　要：目的:通过对159例合并泌尿系统不同程度扩张胎儿的妊娠结局进行随访,进一步分析胎儿泌尿系统扩张的发生原因及预后。方法:对2002年1月～2004年12月间在该院行产前超声检查发现胎儿合并不同程度泌尿系统扩张的159例妊娠进行随访,记录产后新生儿复查肾脏超声的结果或引产者的相关尸检结果。结果:159例妊娠中,因胎儿合并其他严重畸形或染色体异常而引产的有6例,产后复查新生儿超声转为正常的有119例,仍存在泌尿系统扩张需进一步治疗的有34例。结论:胎儿泌尿系统扩张主要由泌尿道梗阻性病变和非梗阻性病变引起,不同的病因,会出现不同的预后。Objective： By following up the results of 159 cases with fetal urinary dilatation, to analyse the reason and prognosis of urinary dilatation. Methods： 159 eases with fetal urinary dilatation diagnosed by antenatal sonographic detection in this hospital from January 2002 to December 2004 were followed - up to register the results of postnatal sonographic examination or the autopsy. Results： In 159 cases, there were 6 cases with odinopoeia because of accompanying other serious abnormalities or having abnormal chromosome. 119 cases resolved after birth, and 34 cases needed further treatment. Conclusion： Fetal urinary dilatation are mostly caused by urinary obstruent disease and non -obstructive disease. Different reasons can cause different prognosis.

关 键 词：胎儿 泌尿系统扩张 超声 

分 类 号：R726.9[医药卫生—儿科]