产前超声在胎儿泌尿系统囊性病变诊断中的应用价值  

Application value of prenatal ultrasonography in the diagnosis of fetal c ystic lesions of urinary system

作　　者：黄俊[1] 张宜 HUANG Jun;ZHANG Yi(Department of Ultrasound,The Second People’s Hospital of Yibin·Yibin Hospital,West China Hospital of Sichuan University,Yibin Sichuan 644000)

机构地区：[1]宜宾市第二人民医院·四川大学华西医院宜宾医院超声科,四川宜宾644000

出　　处：《当代医药论丛》2023年第6期1-4,共4页

摘　　要：目的:研究产前超声在胎儿泌尿系统囊性病变诊断中的应用价值。方法:选取2019年1月至2021年1月在宜宾市第二人民医院经超声检查诊断为泌尿系统囊性占位性病变的胎儿81例,追踪产后检查及部分引产后尸解结果。统计分析超声诊断优缺点,评估其相关临床应用价值。结果:在81例经产前超声诊断的泌尿系统囊性病变胎儿中,有成人型多囊肾病例26例(32.0%),婴儿型多囊肾病例5例(6.1%),多囊性肾发育不良病例25例(30.8%)。26例成人型多囊肾病例产后彩超复查均确诊多囊肾,符合率100%(26/26)。5例婴儿型多囊肾病例均行引产。其中4例病例接受尸解,1例病例家属放弃尸解,超声符合率100%(4/4)。25例多囊性肾发育不良病例中有2例追踪失败,23例与产后诊断一致,超声符合率92%(23/25)。其中重复肾12例(14.8%),输尿管囊肿5例(6.1%),巨输尿管3例(3.7%),后尿道瓣膜5例(6.1%)。12例重复肾病例的超声符合率为83.3%(10/12)。5例输尿管囊肿病例的超声符合率为60%(3/5)。3例巨输尿管病例的超声符合率为66.6%(2/3)。5例后尿道瓣膜病例的超声符合率为100%(5/5)。上述81例病例的超声诊断结果与产后、尸解结果相比差异无统计学意义(P>0.05)。结论:产前超声在胎儿泌尿系统囊性病变诊断中的应用价值较高。此法值得在临床上推广应用。Objective:To study the application value of prenatal ultrasound in the diagnosis of cystic lesions of fetal urinary system.Methods:A total of 81 fetuses diagnosed as cystic space occupying lesions of urinary system by ultrasonography in the Second People's Hospital of Yibin from January 2019 to January 2021 were selected,and the results of postnatal examination and autopsy after partial labor induction were tracked.The advantages and disadvantages of ultrasonic diagnosis were analyzed and its clinical application value was evaluated.Results:Among 81 fetuses with urinary cystic lesions diagnosed by prenatal ultrasonography,there were 26 cases of adult polycystic kidney disease(32.0%),5 cases of infantile polycystic kidney disease(6.1%)and 25 cases of polycystic renal dysplasia(30.8%).Postpartum color ultrasound examination of 26 adult polycystic kidney cases confirmed polycystic kidney disease,and the coincidence rate was 100%(26/26).Labor induction was performed in 5 cases of infantile polycystic kidney disease.Among them,4 cases received autopsy and 1 case was abandoned by his family members.The ultrasonic coincidence rate was 100%(4/4).Of the 25 cases with polycystic renal dysplasia,2 failed to follow up,23 were consistent with postpartum diagnosis,and the ultrasound coincidence rate was 92%(23/25).There was no significant difference between the ultrasonic diagnosis results of the 81 cases and the postnatal and autopsy results(P>0.05).There were 12 cases of duplicate kidney(14.8%),5 cas es of ureteral cyst(6.1%),3 cases of giant ureter(3.7%),and 5 cases of posterior urethral valve(6.1%).The ultrasonic coincidence rate of 12 cases with repeated kidney was 83.3%(10/12).The ultrasound coincidence rate of 5 cases with ureteral cyst was 60%(3/5).The ultrasound coincidence rate of 3 cases of megalureter was 66.6%(2/3).The ultrasound coincidence rate of 5 patients with posterior urethral valve was 100%(5/5).Conclusion:Prenatal ultrasound is of high value in the diagnosis of cystic lesions of fetal ur inary system.This

关 键 词：多囊肾 多囊性肾发育不良 重复肾 输尿管囊肿 后尿道瓣膜 

分 类 号：R445[医药卫生—影像医学与核医学]