胎儿肾积水的产前超声诊断及产后观察  

作　　者：何同梅 

机构地区：[1]昌乐县中医院产科,山东262400

出　　处：《当代医学》2013年第13期31-32,共2页Contemporary Medicine

摘　　要：目的探讨应用超声诊断胎儿肾积水的价值,并观察产后预后情况。方法对2010年1月-2011年1月的3000例25～40周的单胎孕胎儿行超声检查,对胎儿进行常规性的生物学测量,并测量双肾大小、肾实质的厚度以及集合系分离前后径的宽度,在首次诊断确认胎儿肾积水后,需在产前给予定期复查,并在产后给予1周复查,随访时间2年。结果产前超声检测56例胎儿出现肾积水,单侧43例,双侧13例。产后随访患儿肾积水情况有不同的改变。结论产前行超声检查,是诊断胎儿肾积水的较佳方法,值得临床普遍性予以推广应用。Objective To explore the value of applying ultrasound diagnosing fetal hydronephrosis and observe postpartum prognosis. Methods 3000 fetus with 25-40 weeks from January 2010 to January 2011 received ultrasonic examination. The fetus were given conventional biometric measurement. The size of double kidneys, the thickness of renal parenchyma and the width of posterization dimensiori of collection system separation were measured. After the fetus were diagnosed fetal hydronephrosis for the first time, they were given stated examination in the prenatal period and were for postpartum reexamination. And they were followed up for 2 years. Results There were 56 cases among 56 fetus being examined hydronephrosis with the prenatal ultrasound. There were 43 cases with unilateral hydronephrosis and 13 cases with bilateral hydronephrosis. Hydronephrosis condition on fetus changed to different extent after the follow-up. Conclusion Ultrasonic examination in the prenatal period is a better method of diagnosing fetal hydronephrosis, which is worthy of clinical promotion and application.

关 键 词：胎儿 肾积水 产前 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]