徐振宏,吕国荣.胎儿肾积水的超声诊断及预后评价[J].中国医学影像技术,2008,24(s1):154~156
胎儿肾积水的超声诊断及预后评价
Ultrasonography and prognosis of fetal hydronephrosis
投稿时间:2007-11-23  修订日期:2008-07-30
DOI:
中文关键词:  胎儿  肾积水  超声检查  预后
英文关键词:Fetus  Hydronephrosis  Ultrasonography  Prognosis
基金项目:
作者单位E-mail
徐振宏 福建医科大学附属第二医院超声科,福建 泉州 362000  
吕国荣 福建医科大学附属第二医院超声科,福建 泉州 362000 lgr-fe@sina.com 
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中文摘要:
      目的 探讨胎儿肾积水的产前超声诊断及其预后。方法 对56例胎儿肾积水按肾盂扩张的前后径(<10 mm,10~15 mm, >15 mm)为准,分为轻,中,重度3组,并于首次检查后l个月,两周、产前及出生后l个月,3个月,6个月,12个月,18个月,24个月进行随访复查。结果 29例轻度肾积水胎儿,随访过程中有26例肾积水消失,2例肾积水减轻,1例肾积水加重; 16例中度肾积水胎儿,随访过程有7例肾积水消失,1例肾积水减轻,8例肾积水加重; 11例重度肾积水胎儿随访
英文摘要:
      Objective To discuss the antenatal sonographic diagnosis of fetal hydronephrosis and to evaluate the prognosis of them. Methods Fifty-six fetal hydronephrosis were divided into 3 groups: mild, moderate and severe, according to the anteroposterior diameter of pyelectasis (<10 mm, 10-15 mm, >15 mm), respectively. And they were followed-up visitation at special time. Results There were 29 fetuses with mild hydronephrosis, 16 with moderate and 11 with severe hydronephrosis. In group of mild hydronephrosis, there were 26 cases whose hydronephrosis disappeared, 2 eased and 1 aggravated. However, in the group of moderate hydronephrosis, there were 7 cases whose hydronephrosis disappeared, 1 eased and 8 aggravated. And in the group of severe hydronephrosis: the degree of hydronephrosis of all cases was aggravated. Conclusion The fetal hydronephrosis should be postnatal definite diagnosis, and the ultrasonography can evaluate the prognosis of fetal hydronephrosis, it is a safe and invasive means of great value in clinic and society.
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