超声对评价胎儿肾积水转归及预后的价值

目的应用超声评价胎儿肾积水的转归及预后。方法将我院常规产前检查发现肾积水的57例患者根据APD大小（〈10mm）,（10-15mm）,（〉15mm）分为ABC 3组。所有病例均于首次检查后1个月,产前及生后1月,6月,12月进行随访复查,以了解肾积水的变化。结果 57例中,42例肾积水无变化或程度减轻者均来自A和B组;5例引产,3例为B组病例,2例为C组病例;10例行手术治疗：B组7例,C组3例。结论应用超声对胎儿肾积水进行综合分析,可较好地评价胎儿的预后。对于胎儿肾积水宽度〈1.5cm或肾实质厚度〉0.5cm的病例一般可以认为预后较好,而肾积水宽度〉2.5cm或肾实质厚度〈0.2cm的病例应密切观察确定是否手术治疗。

The value of ultrasound in predicting the prognosis of fetal hydronephrosis

Objective:Assess the value of ultrasonography in predicting the outcome and prognosis of fetal hydronephrosis.Methods:Reviewed 57 cases with fetal hydronephrosis by ultrasound examination.Divided them into 3 grounds: A、B、C ground according to the anteroposterior diameter of pypyelectasis(<10mm,10-15mm,>15mm).Results: 44 cases of group A and ground B of the hydronephrosis were for the better or no change after born.10 cases were received operation which 7cases from ground Band 3 cases from ground C.5 cases of B and C group get induction.5 cases were inducted which 3 cases from ground B and 2 cases from ground C.And 2 cases were dead after born which from ground C.Conclutions: Ultrasonopraphy can successfully assess the prognosis of fetal hydronephrosis in early stage.If the width of APD was narrower than 1.5cm,or the thickness of renal parenchyma was wider than 0.5cm,the outcome were good.The outcomes were bad if the width of APD were more than 1.5cm,and the thickness of renal parenchyma was narrower than 0.2cm.It should be observed carefully in order to determine whether surgery.