产前超声检查胎儿肾积水的应用分析  

Application of ultrasonography in antenatal diagnosis of fetus hydronephrosis

作　　者：江凤荣[1] 赵新民[1] 

机构地区：[1]河南省濮阳市油田总医院,濮阳457000

出　　处：《按摩与康复医学》2010年第9期75-76,共2页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：用超声方法检测胎儿肾积水程度及其转归。方法：选择2007．6～2008．6间在我院门诊和住院孕妇，应用超声筛查到肾积水胎儿28例（32只肾），并对其进行1～2年随访。结果：28例先天性胎儿肾积水中I级16例，II级8例，III级以上4例。其中有12例肾积水完全消失，14例无明显变化，2例加重。结论：产前胎儿肾积水大部分都是生理性的，可随着个体的发育而自然消退，对于生后仍存在肾积水的患儿，应定期随访观察；胎儿肾积水的转归与肾积水程度有关；彩色多普勒超声可较好地评价胎儿预后。Objective：To investigate the degree and estimate the ptognosis of fetal hydronephrosis by ultrasound technique. Meth- otis： Detailed antenatal sonography was performed on 8200 pregnant women between 2007 and 2008 ,and 28 cases 32 individuals hy- dronephrosis in pregnancy were detected and surveyed after childbirth, the longest followed--up was for two years. Results： In fetu- ses with hydronephrosis,there were 16 cases with I degree, II and III degree were in 8 and 4 case respectively. Of the total 28 fetu- ses, 12 cases were absorbed spontaneously and completely. Fourteen fetuses were not obviously improved after delivery and five fe- tuses were aggravated. Conclusion：Most hydronephresis in fetus is physiological change which can disappear with individual devel- opment. Children with hydronephrosis after birth should be followed up regularly. Prognosis of hydronephrosis ofter birth related to the extent of hydronephrosis, Color Dopple ultrasounography may provide valuable prognositic estimation for fetal hydronephrosis.

关 键 词：胎儿肾积水 彩色多普勒超声 预后 

分 类 号：R714[医药卫生—妇产科学]