110例胎儿泌尿系统发育异常的门诊多学科会诊结果分析  

Analysis of outpatient multidisciplinary consultation results of 110 cases of fetal urological dysplasia

作　　者：蹇文艳 郭德伟 郭曼晖 雍文静 陈刚[1] 邓欢 姚若进[1] Jian Wenyan;Guo Dewei;Guo Manhui(Department of Obstetrics,Xiangya Hospital Central South University,Changsha 410000)

机构地区：[1]中南大学湘雅医院产科

出　　处：《现代妇产科进展》2019年第10期765-768,共4页Progress in Obstetrics and Gynecology

摘　　要：目的:探讨因胎儿泌尿系统发育异常参加门诊多学科会诊病例的处理及妊娠结局。方法:诊断为胎儿泌尿系统发育异常的孕妇在门诊多学科会诊中心进行预约登记,由胎儿泌尿系统异常会诊专家团队进行会诊,为孕妇制定合适的诊疗计划并定期随访。结果:110例产前发现胎儿泌尿系统发育异常的孕妇接受门诊多学科会诊并分娩,肾脏位置及形态异常52例(47.3%),肾盂扩张34例(30.9%)。引产43例,活产67例。36例行羊水产前诊断,产前诊断率为32.7%,6例发现致病变异,产前诊断阳性率为16.7%。结论:胎儿泌尿系统发育异常的多学科诊治模式优化了孕妇的就诊流程,避免盲目引产,孕期及出生后形成全程管理,提高了团队的整体诊治水平,促进了胎儿医学的发展。Objective:To investigate the treatment and pregnancy outcome of multidisciplinary consultation for fetal urinary system dysplasia.Methods:Pregnant women diagnosed with abnormal fetal urinary system development were booked and registered in the multidisciplinary consultation center of outpatient clinic for further diagnosis and consultation,and a consultation team of experts was organized for consultation of abnormal fetal urinary system,so as to make appropriate diagnosis and treatment plan for pregnant women and follow up regularly.Results:110 women with fetal urinary system dysplasia were consulted and delivered.There were 43 induced abortions and 67 live births.36 cases underwent prenatal diagnosis of amniotic fluid.The rate of prenatal diagnosis was 32.7%.Pathogenic variation was found in 6 cases.The positive rate of prenatal diagnosis was 16.7%.Conclusion:The multidisciplinary diagnosis and treatment model of fetal urinary system dysplasia optimizes the pregnant women's visiting process,avoids blind induced labor,forms the whole process management during pregnancy and after birth,improves the overall diagnosis and treatment level of the team,and promotes the development of fetal medicine.

关 键 词：胎儿泌尿系统发育异常 门诊多学科会诊 胎儿肾脏回声增强 胎儿肾盂扩张 胎儿肾脏囊性病变 

分 类 号：R714.53[医药卫生—妇产科学]