中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
34期
112-112,114
,共2页
超声检查%胎儿%肾盂积水
超聲檢查%胎兒%腎盂積水
초성검사%태인%신우적수
Ultrasound examination%Fetus%Hydronephrosis
目的：探讨超声评分法诊断胎儿肾积水的临床价值。方法：对肾积水胎儿进行超声检查，将PAPD、肾实质厚度和肾盂肾盏形态分别进行超声评分并累计每个肾的总评分。根据随访结果将肾积水胎儿分为生理组和病理组，绘制超声评分法两组肾积水的操作者特征(ROC)曲线。结果：98例共108个肾积水，其中79个(78.80%)为生理性，29个(21.20%)为病理性。对于诊断胎儿病理性肾积水，ROC曲线显示超声评分法鉴别诊断肾积水曲线下面积96.4%，其取值6时为诊断病理性肾积水最佳截断值，灵敏性81%，特异性94%。结论：超声评分法可用于临床鉴别诊断胎儿生理性与病理性肾积水。
目的：探討超聲評分法診斷胎兒腎積水的臨床價值。方法：對腎積水胎兒進行超聲檢查，將PAPD、腎實質厚度和腎盂腎盞形態分彆進行超聲評分併纍計每箇腎的總評分。根據隨訪結果將腎積水胎兒分為生理組和病理組，繪製超聲評分法兩組腎積水的操作者特徵(ROC)麯線。結果：98例共108箇腎積水，其中79箇(78.80%)為生理性，29箇(21.20%)為病理性。對于診斷胎兒病理性腎積水，ROC麯線顯示超聲評分法鑒彆診斷腎積水麯線下麵積96.4%，其取值6時為診斷病理性腎積水最佳截斷值，靈敏性81%，特異性94%。結論：超聲評分法可用于臨床鑒彆診斷胎兒生理性與病理性腎積水。
목적：탐토초성평분법진단태인신적수적림상개치。방법：대신적수태인진행초성검사，장PAPD、신실질후도화신우신잔형태분별진행초성평분병루계매개신적총평분。근거수방결과장신적수태인분위생리조화병리조，회제초성평분법량조신적수적조작자특정(ROC)곡선。결과：98례공108개신적수，기중79개(78.80%)위생이성，29개(21.20%)위병이성。대우진단태인병이성신적수，ROC곡선현시초성평분법감별진단신적수곡선하면적96.4%，기취치6시위진단병이성신적수최가절단치，령민성81%，특이성94%。결론：초성평분법가용우림상감별진단태인생이성여병이성신적수。
Objective:To investigate the clinical value of ultrasound scoring method in diagnosis of fetal hydronephrosis.Methods:Ultrasound examination used in diagnosis of fetal hydronephrosis can provide ultrasound score of PAPD,thickness of renal parenchyma and renal pelvis morphology,then cumulative total score of each kidney.According to the results of follow-up,fetal hydronephrosis can be divided into the physiological groups and the pathology group,and rendering receiver operating characteristic(ROC) curve of hydronephrosis in two groups.Results:A total of 98 patients with 108 hydronephrosis,79 of them(78.80% ) were physiological,while 29(21.20% ) were pathological.For the diagnosis of fetal pathological hydronephrosis, ultrasound score Roc curve shows the area under the curve of differential diagnosis of hydronephrosis in 96.4%,the value of 6 is the optimal cut-off value for the diagnosis of pathological hydronephrosis,while the sensitivity is 81%,and the specificity is 94%. Conclusion:Ultrasound scoring method can be used in differential diagnosis of fetal physiological and pathological hydronephrosis.
