应用超声评分法对胎儿肾积水预后的研究  

Ultrasound Scoring in Predicting the Prognosis of Fetal Hydronephrosis

作　　者：展新风[1] 陶国伟[1] 程琳[1] 傅庆昭[1] 李海英[1] 刘芳[1] 刘韶平[1] 

机构地区：[1]山东大学齐鲁医院超声科,济南市250012

出　　处：《中国超声医学杂志》2009年第12期1176-1179,共4页Chinese Journal of Ultrasound in Medicine

基　　金：山东省卫生厅青年基金项目(No.2007QZ007)

摘　　要：目的探讨超声评分法评估胎儿肾积水预后的价值。方法晚孕期149例肾积水胎儿,测定其肾盂前后径、肾实质厚度、肾盂肾盏形态并分别赋予0～3分,累计其分值并与出生后的超声检查及临床诊断对照。结果超声评分为≤3、4、5、6、7、≥8分,病理性肾积水占的比例分别为0、11.11%、28.57%、50.00%、80.00%、100%。6分为诊断胎儿病理性肾积水的最佳截断值,其灵敏度、特异度分别为88.46%、94.49%。结论超声评分法评估胎儿肾积水的预后,具有较高的临床实用价值。Objective To research the value of ultrasound scoring in evaluating the prognosis of fetal hydrone phrosis. Methods Ultrasound was performed in 149 fetuses with hydronephrosis. Renal APD, parenchyma thickness and pelviealiceal morphology were measured and were graded from 0 to 3 score. These scores were compared with post natal ultrasound and clinical diagnosis. Results Scores were ≤3, 4, 5, 6, 7, ≥8 respectively, pathological hydronephrosis rates were 0, 11.11%, 28.57%, 50.00%, 80.00%, 100% respectively. Score 6 was the best cutoff to diagnose fetal pathological hydronephrosis. The sensitivity and specificity were 88.46%. 94.49% respectively. Conclusions Ultrasound scoring was a feasible and accurate method to evaluate the prognosis of fetal hydronephrosis.

关 键 词：超声检查 胎儿 肾积水 超声评分法 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]