产前彩超诊断泌尿系统异常的胎儿的结局分析

目的：分析产前彩超诊断泌尿系统异常的胎儿产后的结局。方法：选取180例产前经彩超诊断胎儿泌尿系统异常的孕妇，随访并分析新生儿结局。结果：产前彩超诊断发现，肾缺如单侧发生率明显高于双侧，多囊肾单侧发生率明显低于双侧，相比较具有统计学差异（P〈0.01或 P〈0.05）；产后结局分析发现，单纯肾盂积水诊断准确率明显高于异位肾和重复肾（P〈0.05）。结论：产前行胎儿泌尿系统彩超检查诊断准确率较高，具有重要意义，但不是提示终止妊娠的唯一标准，还需经过更加全面的检查得出更加准确的结果。

Outcomeanalysis offetal with abnormalur in arysystem by prenatal color ultrasound

Objective： To analyze the postnatal result of the abnormal urinary system fetal diagnosed by color ul- trasound. Methods： In this study, 180 pregnant women were collected, whose fetal urinary system was diagnosed ab- normal by color ultrasound, followed up and analyzed. Results： The prenatal color ultrasound showed that unilateral renal agenesis incidence was higher than bilateral one; unilateral polycystic kidney incidence was obviously lower than that in the bilateral （P〈 0.01 or P〈 0.05）. Both of them were significantly statistical.Postpartum color ultrasound showed that the accurate rate of simple hydronephrosis diagnosis was significantly higher than that of ectopic kidney and renal duplication ; the mortality rate of renal agenesis was obviously higher than that of simple hydronephrosis, polycystic kidney, ectopic kidney, renal duplication and renal duplication （P〈 0.05）. Conclusion： Prenatal diagnosis of color ultrasound of the urinary system has high accuracy and great significance, but it is not the only standard of the pregnancy termination, more comprehensive examination required to obtain more accurate results.