胎儿肾盂积水的超声动态观察  

Ultrasonic dynamic observation of fetal hydronephrosis

作　　者：杨秋红[1] 高露露[1] 白新华[1] 梁新[1] 陈书文[1] 

机构地区：[1]深圳市第二人民医院,518035

出　　处：《中国妇幼保健》2012年第7期1096-1097,共2页Maternal and Child Health Care of China

摘　　要：目的:观察妊娠中晚期胎儿肾盂积水的超声声像特点,探讨肾盂积水程度与预后的关系。方法:对妊娠16～42周发现胎儿肾脏肾盂扩张前后径(APD)≥5 mm者进行超声动态观察,对胎儿肾盂积水持续存在者出生后继续随访。结果:94例155只胎肾中有149只胎肾在孕晚期或产后6个月内缓解;6例6只胎肾为泌尿系异常,在产后6～9个月行手术治疗被证实。结论:超声动态观察胎儿肾盂积水可提示肾盂积水的生理性或病理性,可大致评估其预后及转归,对出生后的随访及治疗方案的选择均有实际意义。Objective： To observe the ultrasonic image characteristics of fetal hydmnephrosis during the second and third trimester of pregnancy, explore the relationship between the degree of hydronephrosis and prognosis. Methods： The fetuses whose anteroposterior diameter （APD） of pyeleetasis〉≥5 mm during 16 -42 gestational weeks were observed dynamically by ultrasound, the neonates with persistent hydronephrosis were followed up after birth. Results： Among 155 fetal kidneys （94 fetuses）, 149 fetal kidneys relieved during the third trimester of pregnancy or within six months after, 6 fetal kidneys （6 fetuses） were found with abnormalities of fetal urinary system, and they were confirmed by surgery at 6 - 9 months after birth. Conclusion： Dynamic observation of fetal hydronephrosis with ultrasound is helpful to indicate the physiology and pathology of hydronephresis, evaluate the prognosis, which has actual significance for follow - up after birth and choice of therapeutic scheme.

关 键 词：肾盂积水 胎儿 超声检查 

分 类 号：R725.8[医药卫生—儿科]