| 80例胎儿肾积水的诊断与产后转归 |
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| 引用本文： | 陆毅群,阮双岁,毕允力,王翔. 80例胎儿肾积水的诊断与产后转归[J]. 临床小儿外科杂志, 2009, 8(6): 21-23 |
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| 作者姓名： | 陆毅群 阮双岁 毕允力 王翔 |
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| 作者单位： | 复旦天学附属儿科医院外科,上海市,200032;复旦天学附属儿科医院外科,上海市,200032;复旦天学附属儿科医院外科,上海市,200032;复旦天学附属儿科医院外科,上海市,200032 |
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| 基金项目： | 卫生部属(管)临床学科重点基金 |
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| 摘 要： | 目的探讨胎儿肾积水的产前超声诊断及产后转归。方法对孕18～41周的胎儿进行产前超声检查,根据肾集合系统前后径情况选择分离〉0．5cm的胎儿80例（90只肾）,分为3组：Ⅰ组肾集合系统前后径分离0．5～1．0cm（70例）;Ⅱ组：肾集合系统前后径分离1．0～1．5cm（16例）;Ⅲ组：肾集合系统前后径分离〉1．5cm（4例）。3组均出生后随访至2岁。结果80例（90只肾）中,14例引产,63例（73只肾）肾积水无变化或恢复正常,其中I组及Ⅱ组62例,Ⅲ组1例。Ⅲ组4例中,3例行手术治疗。结论胎儿期肾集合系统分离在1．5cm以内,且无进行性增宽者提示预后良好;〉1．5 cm伴。肾实质变薄者提示预后不良,需密切观察或手术治疗。
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| 关 键 词： | 肾积水 新生儿 胎儿 预后 |
The postnatal outcomes of the fetus |
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| Affiliation: | Lu Yi-qun,Ruan Shuang-sui, Bi Yun-li, et al.(Department Pediatric Surgery, Children＇ s Hospital, Fudan University, Shanghai, 201102, China) |
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| Abstract: | Objective To investigate the postnatal outcomes of the fetus. Methods 80 fetus （90 kindeys） received B utrasound when they were 18 - 41 weeks pregnant. They were be separated to 3 groups according to the anteroposterior diameter of the renal pelvis. （ Group 1 0.5era - 1.0,Group 2 1.0 - 1.5cm,Group 3 〉1.5cm）. Results The 62 cases （73 kidneys）of group 1 and 2 and one kidney of group 3 of the hydronephrosis were for the better after borned,Only 3 cases （3 kidneys） of group 3 were received operation. 14 cases were odinopoeia. Conclusions The outcomes are good if the dilation of the pelvies are less than 1.5cm. The outcomes are bad if the dilation of the pelvics are more than 1.5cm, we must observation carefully or perform the operation. |
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| Keywords: | Hydronephrosis Infant fetus Outcomes |
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