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159例胎儿泌尿系统扩张的病因及预后分析

The etiopathogenesis and prognosis of 159 cases with fetal urinary dilatation

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【作者】 葛群; 张国正; 伍颖恒;

【Author】 GE Qun, ZHANG Guo-Zheng, WU Ying-Heng. Department of Ultrasonic Image, Guangzhou Women and Infants Hospital, Guangzhou 510181, Guangdong, China

【机构】 广东省广州市妇婴医院超声影像科; 广东省广州市妇婴医院超声影像科 510180; 510180;

【摘要】 目的:通过对159例合并泌尿系统不同程度扩张胎儿的妊娠结局进行随访,进一步分析胎儿泌尿系统扩张的发生原因及预后。方法:对2002年1月~2004年12月间在该院行产前超声检查发现胎儿合并不同程度泌尿系统扩张的159例妊娠进行随访,记录产后新生儿复查肾脏超声的结果或引产者的相关尸检结果。结果:159例妊娠中,因胎儿合并其他严重畸形或染色体异常而引产的有6例,产后复查新生儿超声转为正常的有119例,仍存在泌尿系统扩张需进一步治疗的有34例。结论:胎儿泌尿系统扩张主要由泌尿道梗阻性病变和非梗阻性病变引起,不同的病因,会出现不同的预后。

【Abstract】 Objective:By following up the results of 159 cases with fetal urinary dilatation, to analyse the reason and prognosis of urinary dilatation.Methods:159 cases with fetal urinary dilatation diagnosed by antenatal sonographic detection in this hospital from January 2002 to December 2004 were followed-up to register the results of postnatal sonographic examination or the autopsy.Results:In 159 cases, there were 6 cases with odinopoeia because of accompanying other serious abnormalities or having abnormal chromosome. 119 cases resolved after birth, and 34 cases needed further treatment.Conclusion:Fetal urinary dilatation are mostly caused by urinary obstruent disease and non-obstructive disease. Different reasons can cause different prognosis.

【关键词】 胎儿; 泌尿系统扩张; 超声;
【Key words】 Fetal; Urinary dilatation; Ultrasonics;
  • 【文献出处】 中国妇幼保健 ,Maternal and Child Health Care of China , 编辑部邮箱 ,2007年05期
  • 【分类号】R714.5
  • 【被引频次】2
  • 【下载频次】61
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