胎儿期超声检查对肾积水患儿治疗和预后评估的价值  

Efficacy of fetal ultrasound for the treatment and prognosis of children with hydronephrosis

作　　者：葛海萍 胡波[2] GE Hai-ping;HU Bo(Department of Ultrasound,Fenghua Maternity and Child Healthcare Hospital,Ningbo 315500;Department of Ultrasound,Ningbo Women&Children’s Hospital,Ningbo 315031,China)

机构地区：[1]宁波市奉化区妇幼保健院B超室,浙江宁波315500 [2]宁波市妇女儿童医院B超室,浙江宁波315031

出　　处：《健康研究》2019年第4期421-423,共3页Health Research

摘　　要：目的探讨超声诊断对于评价胎儿无输尿管扩张的单纯肾积水的预后价值。方法150例单侧单纯肾积水患儿根据最终的治疗方案分为保守治疗组和手术治疗组,各75例;收集出生前的胎儿期超声检查,比较保守组和手术组在肾盂前后径、肾实质厚度、肾盏形态和肾脏长度等方面的差异。应用Logistic回归分析找出能够评估手术必要性的超声参数。结果手术组的肾盂前后径、肾脏长度明显大于保守组,肾实质厚度低于保守组,差异均有统计学意义(P<0.05);Logistic回归分析显示,产前胎儿肾盂前后径是评估产后有无手术必要的最有价值指标。结论胎儿期超声参数中肾盂前后径可评估产后有无手术必要。Objective To evaluate the prognostic value of ultrasonography in children of hydronephrosis without fetal ureteral dilatation.Methods Firstly,150 children with unilateral simple hydronephrosis were divided two groups,namely,group A(n=75,subjected to conservative treatment),and group B(n=75,subjected to operation).Next,the ultrasound examination parameters of the fetuses were documented.The anteroposterior diameter of renal pelvis,parenchymal thickness,calyceal morphology and kidney length of the two groups were then compared.Lastly,logistic regression analysis was conducted to identify the ultrasound parameters that could help determine the necessity of surgery.Results The anteroposterior diameter of renal pelvis and kidney length of group B were found to be greater than those of group A.However,the parenchymal thickness of group B was lesser than that of group A.The differences were statistically significant(P<0.05).Logistic regression analysis showed that fetal anteroposterior diameter of renal pelvis is the most significant variable for making decision on the necessity of postpartum surgery.Conclusions The anteroposterior diameter of renal pelvis in the fetal ultrasound parameters can serve as the most important variable for making judgment on the necessity of surgery.

关 键 词：超声 胎儿 肾积水 肾盂前后径 

分 类 号：R726.9[医药卫生—儿科]