彩色多普勒超声诊断胎儿泌尿系统畸形的价值

Value of color Doppler ultrasonography in diagnosis of fetal urinary malformations

目的分析彩色多普勒超声诊断胎儿泌尿系统畸形的效果。方法选取2015年9月至2018年9月收治的100例胎儿泌尿系统畸形孕妇,所有孕妇均需进行彩色多普勒超声诊断,回顾分析患者超声诊断结果及影像学特征。结果超声诊断与分娩后超声复查、引产后尸检结果相符,诊断准确率为100.00%,其中融合肾8例、异位肾15例、重复肾9例、肾积水40例、多囊性发育不良肾16例、肾脏发育不全11例、膀胱外翻1例。结论彩色多普勒超声诊断胎儿泌尿系统畸形的效果较显著,能准确定位出肾动脉,清晰显示出肾脏实质与肾脏集合系统,可及早鉴别、筛查出胎儿泌尿系统畸形,为后续治疗提供准确的影像学依据和参考。

Objective To analyze the effect of color Doppler ultrasonography on the diagnosis of fetal urinary malformations.Methods A total of 100 cases of pregnant women with fetal urinary system malformation were serlected from September 2015 to September 2018.All pregnant women needed to be diagnosed by color Doppler ultrasonography.The ultrasonographic diagnosis results and imaging characteristics of the patients were retrospectively analyzed.Results Ultrasound diagnosis was consistent with postpartum ultrasound review and postpartum autopsy.The diagnostic accuracy was 100.00%.Among them,8 cases were fused kidney,15 cases were heterotopic kidney,9 cases were duplicated kidney,40 cases were hydronephrosis,16 cases were polycystic dysplasia kidney,11 cases were renal dysplasia and 1 case was bladder eversion.Conclusions Color Doppler ultrasonography is effective on the diagnosis of fetal urinary system malformations.It can accurately locate the renal artery,clearly show the renal parenchyma and renal aggregation system,identify and screen fetal urinary system malformations as early as possible,and provide accurate imaging basis and reference for follow-up treatment.