胎儿泌尿系畸形的超声诊断分析

Ultrasonognaphy detection of urinary system abnormality in fetus

目的探讨胎儿泌尿系畸形的超声声像图特征及临床意义。方法对56例胎儿泌尿系畸形的超声图像进行回顾性分析,并与产后结果进行对照。结果56例胎儿泌尿系畸形于28孕周前超声诊断26例,28孕周后诊断30例,其中肾积水33例,婴儿型多囊肾2例,成人型多囊肾3例,多囊性肾发育不良10例,孤立肾3例,重复肾2例,盆腔异位肾2例,膀胱尿囊囊肿1例。结论产前超声诊断胎儿泌尿系畸形,依靠特有的声像图改变及合并其他畸形,对胎儿预后判断、临床及早采取措施提供依据,这对优生优育及新生儿早期治疗有重要临床实用价值。

Objective：To explore the clinical value of sonography for fetal genitourinary malformations and the sonographic characteristics of the disorders.Methods：The images of 56 cases of fetal genitourinary malform ations diagnosed prenatally by sonography were retrospectively analyzed and the compared with the postnatal outcomes.Results：Totally 56 cases of fetal genitourinary system malform ation were enrolled in this group.in which 26 cases were diagnosed before gestation 28 weeks and 30 cases screened after 28 weeks,33 were hydrorephrosis,2 autosomal recessive infantile polycystic kidney disease,3 adult polycystic kidney disease,10 multicystic dysplastic kidney,3 renal agenesis,2 duplicate kidney,2 ectopic kidney and 1 urachus allantonic cyst.Conclusions：Sonography for fetal urinary tract anomalies screening may aid to to improve birth quality and aristogenics.