摘要
Abstract
Objective:To explore the clinical value of prenatal sonographic diagnosis to varies types of fetal renal abnormalities. Methods:The clinical data of 196 cases of fetal renal abnormalities (including sonographic characteristic, the incidence rate and the accurate rate of every fetal renal abnormalities, and followed-up) were retrospectively analyzed. Results:There were nine types of fetal renal abnormalities,which
were fetal hydronephrosis, multicystic dysplastic kidney, renal agenesis of one side, double kidney, kidney cyst,pelvic kidney,infantile polycystic kidney,renal agenesis of two sides and fused kidney in incidence sequence. The diagnosis coincidence rate of seven types of fetal renal abnormalities including (fetal hydronephrosis, multicystic dysplastic kidney,renal agenesis of one side,kidney cyst,infantile polycystic kidney,renal agenesis of two sides and fused kidney)were over 90%,while those of the pelvic kidney and double kidney were low, which were 60. 00% and 40. 00% respectively. According to the follow-up after 3 months after birth,the prognosis of the sick babies with fetal hydronephrosis,multicystic dysplastic kidney and renal agenesis of one side were well,while nearly all the women with the fetals which were diagnosed as polycystic kidney and renal agenesis of two sides received induced labor. Conclusions:There are varieties of fetal kidney diseases,and the ultrasonic diagnosis coincidence rate and prognosis are different from each other. Prenatal sonography is an effective tool to diagnose most of fetal renal abnormalities,which can provide more crucial information for obstetrician. The fetal renal abnormalities should be diagnosed circumspectly, reinforced follow-up are requlred when it cannot be diagnosed exactly by ultrasound.关键词
产前超声诊断/胎儿/肾脏发育异常Key words
Prenatal sonographic diagnosis/Fetus/ Renal abnormalities分类
医药卫生
