实用妇产科杂志2011，Vol.27Issue(12)：912-914,3.
65例胎儿肾积水的超声诊断与预后观察
The Value of Ultrasonography in the Diagnosis and Prognostic Assessment of 65 Cases with Fetal Hydronephrosis
黄湖 1王亮 1寇红菊 1罗洪霞1
作者信息
- 1. 温州医学院附属第二医院,浙江温州325027
- 折叠
摘要
Abstract
Objective:To investigate the value of ultrasonogrphy in the diagnosis and prognostic evaluation of fetal hydronephrosis. Methods:81 kidneys of fetal hydronephrosis in 65 pregnant women at 33 to 40 gestational weeks were enrolled into this study. All cases were classified into four grades according to renal anterior-posterior diameter (APD) and were followed up in the 1st month, 3rd months and 6th months after birth by ultrasonography. Specially, the follow-up of advanced cases lasted for 10 months. The infant was followed up once one month after operation. Results: Among 81 hydronephrosis, 72 were physiological (88. 9%). 41 kidneys of grade Ⅰ were improved within 6 months after birth, 30 kidneys were improved within one month. All 27 kidneys of grade Ⅱ were improved within 6 months, 16 kidneys were improved within three month. 2 kidneys in 6 of grade Ⅲ were progressed. 5 kidneys in 7 of grade IV underwent operation, the surgical treatment rate of hydronephrosis was 6. 2% (5/81). 2 hydronephrosis with grade III and IV were advanced and needed to be observed occupying 4. 9% (4/81). The other imaging test showed gently uretero-pelvic junction obstruction without operation indication. Conclusions:Most of fetal hydronephrosis are physiological , only a small part of them need surgical treatment due to urinary malformations and mostly are grade Ⅳ. Ultrasonography is the best way to diagnose and evaluate the prognosis of fetal hydronephrosis.关键词
胎儿肾积水/超声检查/预后Key words
Fetal hydronephrosis/ Ultrasonography/ Prognosis分类
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黄湖,王亮,寇红菊,罗洪霞..65例胎儿肾积水的超声诊断与预后观察[J].实用妇产科杂志,2011,27(12):912-914,3.
