胎儿泌尿系统异常的产前超声筛查  

Prenatal ultrasound screening for fetal urinary system abnormalities

作　　者：黄春波[1] 吕海云[1] 邹雅芳 

机构地区：[1]广东省深圳市宝安区妇幼保健院超声科,广东深圳518133

出　　处：《医学影像学杂志》2016年第1期84-86,共3页Journal of Medical Imaging

摘　　要：目的探讨产前超声筛查对胎儿泌尿系统异常的诊断价值。方法对12428例孕16-39周孕妇进行产前超声筛查,对其中62例泌尿系统异常胎儿进行随访,并见超声检查结果与随访结果相对照。结果62例泌尿系统异常胎儿中单一部位异常53例,包括肾积水29例、多囊性发育不良肾8例、婴儿型多囊肾2例,成人型多囊肾2例,重复肾1例、单侧异位肾3例、单侧肾缺如2例、马蹄肾1例,肾囊肿4例,巨输尿管1例;2个部位异常9例,包括输尿管狭窄合并肾积水4例、重复肾合并肾积水3例、异位肾合并肾积水2例。62例胎儿中19例选择引产,17例与超声检查一致,43例继续妊娠胎儿出生后,27例肾积水减轻或消退,16例经手术或复查超声与产前超声检查一致。结论超声诊断胎儿泌尿系统异常与随访结果一致性好,产前超声筛查在胎儿泌尿系统异常的诊断中具有重要价值。Objective To investigate the diagnostic value of prenatal ultrasound screening for fetal urinary system abnormalities. Methods 12428 pregnant women of 16 - 39 weeks were screened by prenatal ultrasound, and 62 cases of abnormal fetal urinary system were followed up, and the resnhs were compared with the follow-up results. Results 53 cases were found fetal urinary system abnormalities in single site of 62 fetus of with urinary system abnormalities, including hydronephrosis in 29 cases, polycystic developmental dysplastic kidney in 8 cases, infantile polyeystic kidney in 2 cases, dult polycystic kidney in 2 cases, renal duplicatio in 1 case, unilateral ectopic kidney in 3 cases, absence of Dan Ceshen in 2 cases, horseshoe kidney in 1 case, renal cyst in 4 cases, megaureter in 1 case; with two parts of abnormality in 9 cases, including ureteral stenosis combined kidney seeper in 4 cases, duplication of kidney with renal seeper in 3 cases, ectopic kidney with kidney in 2 cases induced abortion. 19 cases were chosen the induced labor of induced labor of 62 cases of fetues, 17 cases were as with ultrasonography, 43 cases continued to pregnancy. Hydronephrosis was found in 27 cases that reduced or dissipated after birth, 16 cases by surgery or repeated ultrasound prenatal ultrasound examination were consistent as with before. Conclusion The diagnosis of fetal urinary system abnormalities by ultrasound is consistent with follow-up results, and prenatal ultrasound screening has a great value in the diagnosis of fetal urinary system abnormalities.

关 键 词：胎儿 泌尿系统异常 产前 超声检查 

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