彩色多普勒超声在高龄孕妇中对泌尿系统畸形胎儿的产前诊断价值分析  

Color Doppler ultrasound prenatal diagnosis of fetal malformation of the urinary system value analysis in pregnant women in elderly

作　　者：黄晓东[1] 徐娟[1] 李晓旋[1] 刘会文[1] Huang Xiaodong Xu Juan Li Xiaoxuan et al.(Department of Function, theFirst People＇s Hospital of Huizhou City, Huizhou 516001,China)

机构地区：[1]惠州市第一人民医院功能科,广东惠州516001

出　　处：《国际泌尿系统杂志》2017年第4期550-553,共4页International Journal of Urology and Nephrology

摘　　要：目的 分析不同类型泌尿系统畸形胎儿的彩色多普勒超声声像图的特征,评价彩色多普勒超声对高龄孕妇在产前诊断泌尿系统畸形胎儿的临床研究和诊断价值.方法 随机选择2014年3月至2016年2月本院接收的1 642例平均年龄为35.2岁且孕周为14-38周的孕妇,进行彩色多普勒常规检查,同时观测孕妇腹中胎儿的健康状况,收集对孕妇以及胎儿的临床资料和彩色多普勒超声声像特征并进行统计分析,并对怀疑为泌尿系统畸形的胎儿进行随访验证.对检测出泌尿系统畸形胎儿、疑似泌尿系统畸形胎儿和漏诊的病例,在分娩后进行彩色多普勒超声诊断和随访,将随访的结果与产前彩色多普勒超声检查的统计结果相对照.结果 通过彩色多普勒超声检测1 642例孕妇,对其超声声像特征的资料进行分析,根据超声声像图特征做出诊断.检测发现有42例泌尿系统畸形的胎儿,包含肾发育不良胎儿4例,占9.5%;多囊性发育不良8例,占19.04%;肾盂扩张15例,占35.7%;肾积水6例,占14.3%;肾缺如7例,占16.7%;巨膀胱1例,占2.4%;尿道下裂1例,占2.4%;进行产前彩色多普勒超声检测的诊断结果与分娩后检查和随访结果一致,其中一例被误诊,产妇分娩后病症消失.结论 产前对高龄孕妇进行彩色多普勒超声检查,诊断出泌尿系统畸形胎儿的准确率较高.利用彩色多普勒超声检测,使得泌尿系统畸形胎儿在产前即可作出诊断,为临床诊断、采取措施和预后评估提供了可靠且重要的依据.Objectives To analyze different types of color Doppler fetal malformation of the urinary system sonographic characteristics, evaluation of clinical and diagnostic value of color Doppler ultrasonography in older pregnant women in prenatal diagnosis of fetal malformation of the urinary system.Methods A total of 1642 cases（an average age of 35.2 years, pregnant weeks were 14-38 weeks） were randomly selected in our hospital from March 2014 to February 2016.All patients underwent color Doppler routine examination.The health of pregnant women, the unborn fetus, pregnant women and fetuses were observed.collected clinical data and color Doppler ultrasonographic features were collected and analyzed, and suspected fetal malformation of the urinary system follow-up verification was performed.Urinary system to detect fetal malformations,fetal malformation and suspected cases of missed urinary system, after delivery color Doppler ultrasound diagnosis and follow-up were performed, follow-up results and the statistical results of the prenatal color Doppler ultrasound were compared.Results The sonographic feature information of 1642 cases of pregnant women were detected and analyzed by color Doppler ultrasonography,and diagnosed by ultrasonographic features.Forty-two cases of fetal malformations, including renal dysplasia in 4 cases （9.5%）, poor development of polycystic in 8 cases（19.04%）, 15 cases of renal pelvis dilatation（35.7%）, hydronephrosis in 6 cases（14.3%）, renal agenesis in 7 cases（16.7%）, 1 case of giant bladder （2.4%）;1 case of hypospadias（2.4%）.The results of prenatal diagnosis and color doppler ultrasound examination after delivery and follow-up results were consistent.Conclusions Diagnosis of fetal malformation of the urinary system is more accurate by prenatal color Doppler ultrasound for advanced maternal age.Color Doppler ultrasound provides a reliable and important evidence for clinical diagnosis and treatment and prognostic evaluation.

关 键 词：胎儿 产前诊断 超声检查 多普勒 彩色 

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]