【摘要】 目的研究胎儿脑积水与肾积水的病因及诊断标准与治疗。方法文献收集141篇,进行系统荟萃(meta)分析。结果肾积水发病与遗传有关而与羊水多少、胎儿性别无关;肾积水大于2cm被认为病理性,(OR=1.76,95%CI(1.05,2.95)脑积水发生在妊娠5~6月,或7月后脑室宽度大于1.5cm是病理性(OR=0.84,95%CI(0.38,1.85)结论脑积水的发病与妊娠呕吐有一定相关性,(OR=2.44,95%CI(1.18,4.26)与胎儿性别,妊娠早期代谢性肝病以及特发性妊娠性脂肪肝无关。中药干预治疗是安全的。更多还原

【Abstract】 Objective:To study the pathogeny,the diagnostic criteria and the therapy between the fetal hydrocephalus and hydronephrosis Methods Collecting 141 reference,then analyzing them with Meta-AnalysisResults Hydronephrosis has some relation with hereditary factors and no relation with the amount of amniotic fluid and fetus’ s sex;if the amniotic fluid of hydronephrosis was more than 2cm,that would be considered a pathological state(OR=1.76,95%CI(1.05,2.95);if the hydrocephalus happened during the fifth or sixth month of pregnancy,or the width of ventricle was more than 1.5cm after the seventh month of pregnancy,that would also be considered pathological states(OR=0.84,95%CI(0.38,1.85).Conclusion:Hydrocephalus has some relation with the vomit among the pregnancy(OR=2.44,95%CI(1.18,4.26),and has no relation with fetus’ s sex,early metabolic liver disease in pregnancy and Idiopathic fatty liver of pregnancy.And it showed safe after using traditional Chinese medicine.更多还原