摘要
目的：超声检查中发现胎儿肾积水的病例进行随访观察和分析,根据集合系统分离值和肾皮质厚度的大小来界定胎儿肾积水的程度,研究超声检查胎儿肾积水的价值。方法：来我院超声的孕妇孕20周以上,发现胎儿肾积水的,全部病例均在首次诊断后,产前每隔1月复查1次,直至胎儿分娩,产后首次复查在出生后1个月内进行,之后每隔3-6月复查1次,1岁后停止随访。胎儿肾积水测量是按Grignon等将其分为5级。按级病例分5组对比分析。结果：2012年至2014年7月胎儿肾积水的病例47例（其中6例是双侧肾积水）,肾积水消失的有33例,减轻的有5例,无明显变化的有3例,加重的有6例。结论：超声检查作为一种无损、重复性高、较安全并价格便宜的影像学检查手段,是胎儿的产前诊断及产后随访观察首选检查手段,胎儿肾积水的公认方法是超声检查。
Objective： To follow-up and analyzes fetus hydronephrosis discovered by ultrasonography.Methods： Pregnant women with observation ftus hydronephrosis were reexamined every month since diagnosis until delivery. The first postnatal reexamination was carried out within the first month of newborn life. Then they had reexamination every 3 - 6 months until they turned to 1 year old. Measurement of fetus hydronephrosis was divided into five levels according to Grignon et al. Cases were divided into five groups for contrastive analysis.Results： There were 47 cases（bilateral hydronephrosis 6 cases） of fetus hydronephrosis from 2012 to 2014. of which, fetus hydronephrosis disappeared in 33 cases, alleviated in 5 cases, had no obvious change in 3 cases and aggravated in 6 cases. Conclusions： As a high-repeatable, low-cost, noninvasive, and safe imageological examination method, ultrasonography is a preferred examination method for prenatal fetus diagnosis and postnatal follow-up ？observation. Ultrasonography is a recognized method for diagnosis of fetus hydronephrosis.
出处
《泸州医学院学报》
2015年第3期274-276,共3页
Journal of Luzhou Medical College
关键词
胎儿肾积水
超声
产前诊断
产后随访
Fetus Hydronephrosis
Ultrasonography
Prenatal diagnosis
Postnatal follow-up
