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.
