贵阳医学院学报
貴暘醫學院學報
귀양의학원학보
JOURNAL OF GUIYANG MEDICAL COLLEGE
2015年
6期
630-632
,共3页
胎儿%肾积水%超声检查%生存状况
胎兒%腎積水%超聲檢查%生存狀況
태인%신적수%초성검사%생존상황
fetus%hydronephrosis%ultrasonic examination%living condition
目的:应用超声检查,研究胎儿不同时期肾积水的变化、转归及肾积水胎儿出生后的生存状况。方法:从中期妊娠孕妇中筛选肾积水肾脏251只,以横切面前后径( APD)为标准,按肾脏集合系分离的分离前后径测值分成Ⅲ级;胎儿时期分3个阶段随访,出生后分4个阶段随访,最长随访时间为3年,观察不同时期肾积水的变化、转归及肾积水胎儿出生后的生存状况。结果:孕24周前胎儿生理性积水男性高于女性,77%在孕周晚期或出生后3个月内消失,病理性肾积水发生率为0.21%,男女无差别;30只病理性肾积水肾脏,9例患儿出生后3月手术治疗,诊断多为输尿管狭窄,患儿术后8只残留肾脏肾功能良好;未手术的21只肾脏积水,观察期内肾积水无增加,肾功能检查正常,积水肾脏也多为输尿管狭窄引起。结论:胎儿肾脏积水大多数为生理性的,出生后大部分在一年之内恢复正常,病理性肾积水胎儿出生后早期手术治疗可保持正常肾功能。
目的:應用超聲檢查,研究胎兒不同時期腎積水的變化、轉歸及腎積水胎兒齣生後的生存狀況。方法:從中期妊娠孕婦中篩選腎積水腎髒251隻,以橫切麵前後徑( APD)為標準,按腎髒集閤繫分離的分離前後徑測值分成Ⅲ級;胎兒時期分3箇階段隨訪,齣生後分4箇階段隨訪,最長隨訪時間為3年,觀察不同時期腎積水的變化、轉歸及腎積水胎兒齣生後的生存狀況。結果:孕24週前胎兒生理性積水男性高于女性,77%在孕週晚期或齣生後3箇月內消失,病理性腎積水髮生率為0.21%,男女無差彆;30隻病理性腎積水腎髒,9例患兒齣生後3月手術治療,診斷多為輸尿管狹窄,患兒術後8隻殘留腎髒腎功能良好;未手術的21隻腎髒積水,觀察期內腎積水無增加,腎功能檢查正常,積水腎髒也多為輸尿管狹窄引起。結論:胎兒腎髒積水大多數為生理性的,齣生後大部分在一年之內恢複正常,病理性腎積水胎兒齣生後早期手術治療可保持正常腎功能。
목적:응용초성검사,연구태인불동시기신적수적변화、전귀급신적수태인출생후적생존상황。방법:종중기임신잉부중사선신적수신장251지,이횡절면전후경( APD)위표준,안신장집합계분리적분리전후경측치분성Ⅲ급;태인시기분3개계단수방,출생후분4개계단수방,최장수방시간위3년,관찰불동시기신적수적변화、전귀급신적수태인출생후적생존상황。결과:잉24주전태인생이성적수남성고우녀성,77%재잉주만기혹출생후3개월내소실,병이성신적수발생솔위0.21%,남녀무차별;30지병이성신적수신장,9례환인출생후3월수술치료,진단다위수뇨관협착,환인술후8지잔류신장신공능량호;미수술적21지신장적수,관찰기내신적수무증가,신공능검사정상,적수신장야다위수뇨관협착인기。결론:태인신장적수대다수위생이성적,출생후대부분재일년지내회복정상,병이성신적수태인출생후조기수술치료가보지정상신공능。
Objective:To study the changes of fetal hydronephrosis at different periods and the out-come ,and to investigate their living conditions. Methods:A total of 251 hydronephrotic kidneys of fe-tuses of mid pregnant women were chosen and divided into 3 levels according to anteroposterior diame-ter( APD)of the cross section of set system. Fetal period was divided into 3 stages for follow-up,and the period after the birth was divided into 4 stages. The changes of fetal hydronephrosis at different pe-riods,the outcome,and their living conditions were observed. Results:Before 24 weeks of pregnan-cy,the incidence of fetal physiological hydronephrosis in male was higher than that in female,and 77% of that disappeared at late pregnancy or during 3 months after birth. The incidence of pathological hydronephrosis was 0. 21%,and the difference between male and female was not significant. 9 cases in 30 pathological hydronephrotic kidneys accepted operation and diagnosed as ureteral stenosis,after operation,residual renal function of 8 cases was good. The other 21 cases with pathological hydrone-phrosis didnˊt accept operation,hydronephrosis was not increased during observation period,and they were almost caused by ureteral stenosis. Conclusions:Most fetal hydronephrosis are physiological and can recover within a year after birth.