胎儿先天性肾脏多囊性疾病的产前超声诊断

Prenatal ultrasonographic diagnosis of congenital polycystic renal disease of fetuses

目的探讨超声检查对胎儿肾脏多囊性疾病的诊断,评价其应用价值。方法对16例胎儿肾脏多囊性患者的声像图表现进行回顾性总结。结果根据16例患者声像图表现,采用Potter分类法,具体有常染色体隐性遗传性多囊肾患者2例,常染色体显性遗传性多囊肾患者7例,多囊性发育不良肾患者5例,梗阻性囊性发育不良肾1例,其他1例。结论超声检查在对胎儿肾脏多囊性疾病做出早期诊断的同时,还能客观评价其预后,在优生学上有积极作用。

Objective To discuss the prenatal ultrasonographic diagnosis of the fetuses with polycystic renal disease and evaluate its diagnostic roles. Methods Sixteen fetuses with polycystic renal disease were reviewed. Results According to sonograms of 16 cases, Potter taxonomy was adopted. They were classified as： autosomal recessive polycystic kidney disease （2 cases）; autosomal dominaut polycystic kidney disease （7 cases）; multicystic dysplastic kidney （5 cases）; obstructive cystic dysplastic kidney （1 case）; other disease （1 case）. Conclusion Ultrasonographic examination can both diagnose the fetuses with polycystic renal disease early and evaluate its prognosis objectively. Ultrasonographic examination plays an important role in aristogenics.