中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
Chinese Journal of Ultrasonography
2015年
8期
697-700
,共4页
朱晨%任芸芸%严英榴%孙莉%孔凡斌%赵蔚%胡雁来%姚英%林如%戴蓓蓓
硃晨%任蕓蕓%嚴英榴%孫莉%孔凡斌%趙蔚%鬍雁來%姚英%林如%戴蓓蓓
주신%임예예%엄영류%손리%공범빈%조위%호안래%요영%림여%대배배
超声检查,产前%胎儿%肾盂扩张%妊娠中期
超聲檢查,產前%胎兒%腎盂擴張%妊娠中期
초성검사,산전%태인%신우확장%임신중기
Ultrasonography,prenatal%Fetus%Pyelectasis%Pregnancy trimester,second
目的：探讨超声诊断胎儿肾盂扩张的临床意义及产前肾盂宽度的变化趋势。方法回顾性分析中期妊娠行超声筛查大畸形的14255例孕妇中检出胎儿肾盂前后径宽度(renal pelvis anteroposterior diameter,RPAPD)≥5 mm 且无其他合并畸形的197例胎儿的影像资料。依据中期妊娠筛查肾盂扩张结果分为2组：A 组,RPAPD 5~10 mm；B 组,RPAPD≥10 mm。随访复查至分娩前,32周至分娩的复查结果分为2组：C 组,RPAPD<10 mm；D 组,RPAPD≥10 mm。结果中期妊娠筛查 A 组188例(95.4%),其中失访41例,随访至分娩前,141例(95.9%)RPAPD <10 mm,6例(4.1%)RPAPD≥10 mm；B 组9例(4.6%),失访2例,7例持续扩张至分娩前。分娩前随访结果 C 组141例(91.6%),D 组13例(8.4%)。结论中期妊娠超声诊断单纯胎儿肾盂扩张(RPAPD 5~10 mm)的患者大部分在分娩前 RPAPD<10 mm,而 RPAPD≥10 mm 的患者在分娩前持续性进行性扩张。产前超声动态监测胎儿肾盂宽度,能够及时准确地提供产前咨询信息。
目的：探討超聲診斷胎兒腎盂擴張的臨床意義及產前腎盂寬度的變化趨勢。方法迴顧性分析中期妊娠行超聲篩查大畸形的14255例孕婦中檢齣胎兒腎盂前後徑寬度(renal pelvis anteroposterior diameter,RPAPD)≥5 mm 且無其他閤併畸形的197例胎兒的影像資料。依據中期妊娠篩查腎盂擴張結果分為2組：A 組,RPAPD 5~10 mm；B 組,RPAPD≥10 mm。隨訪複查至分娩前,32週至分娩的複查結果分為2組：C 組,RPAPD<10 mm；D 組,RPAPD≥10 mm。結果中期妊娠篩查 A 組188例(95.4%),其中失訪41例,隨訪至分娩前,141例(95.9%)RPAPD <10 mm,6例(4.1%)RPAPD≥10 mm；B 組9例(4.6%),失訪2例,7例持續擴張至分娩前。分娩前隨訪結果 C 組141例(91.6%),D 組13例(8.4%)。結論中期妊娠超聲診斷單純胎兒腎盂擴張(RPAPD 5~10 mm)的患者大部分在分娩前 RPAPD<10 mm,而 RPAPD≥10 mm 的患者在分娩前持續性進行性擴張。產前超聲動態鑑測胎兒腎盂寬度,能夠及時準確地提供產前咨詢信息。
목적：탐토초성진단태인신우확장적림상의의급산전신우관도적변화추세。방법회고성분석중기임신행초성사사대기형적14255례잉부중검출태인신우전후경관도(renal pelvis anteroposterior diameter,RPAPD)≥5 mm 차무기타합병기형적197례태인적영상자료。의거중기임신사사신우확장결과분위2조：A 조,RPAPD 5~10 mm；B 조,RPAPD≥10 mm。수방복사지분면전,32주지분면적복사결과분위2조：C 조,RPAPD<10 mm；D 조,RPAPD≥10 mm。결과중기임신사사 A 조188례(95.4%),기중실방41례,수방지분면전,141례(95.9%)RPAPD <10 mm,6례(4.1%)RPAPD≥10 mm；B 조9례(4.6%),실방2례,7례지속확장지분면전。분면전수방결과 C 조141례(91.6%),D 조13례(8.4%)。결론중기임신초성진단단순태인신우확장(RPAPD 5~10 mm)적환자대부분재분면전 RPAPD<10 mm,이 RPAPD≥10 mm 적환자재분면전지속성진행성확장。산전초성동태감측태인신우관도,능구급시준학지제공산전자순신식。
Objective To assess the clinical significance of fetal pyelectasis and its changing in utero. Methods One hundred and ninty-seven isolated pyelectasis cases were retrospective reviewed from Jan 2012 to Jul 2014.Isolated pyelectasis was defined as a renal pelvis anteroposterior diameter (RPAPD)of ≥5 mm without other fetal anomaly in second trimester.Persistent or progressive pyelectasis was defined as a RPAPD of ≥10 mm before delivery.They were divided into two groups according to the size of renal pelvis in second trimester:group A (RPAPD 5 - 10 mm)and group B (RPAPD ≥ 10 mm).As the same,there were two groups after 32 weeks of gestation:group C (RPAPD < 10 mm)and group D (RPAPD ≥ 10 mm).Results Totally 1 54 cases were followed up.There were 1 88 cases (95.4%)in group A,with 41 cases lost,141 cases (95.9%)RPAPD <10 mm,6 cases (4.1 %)RPAPD ≥10 mm before delivery.There were 9 cases (4.6%)in group B,with 2 cases lost,remained 7 cases RPAPD ≥ 10 mm before delivery. Conclusions Although most of the fetuses with RPAPD 5 - 10 mm in second trimester will remain the same or resolved before delivery,those with RPAPD ≥ 10 mm may persistent or progress.Prenatal assessment of fetal renal pelvis may provide properly consultation.
