产前超声诊断对胎儿肾脏发育异常的应用

Application of Prenatal Ultrasound Diagnosis to Fetal Renal Dysplasia

目的:探究产前超声诊断对胎儿肾脏发育异常的临床应用价值。方法:将2019年1月~2019年12月在本院接受产前超声检查的60例孕妇临床资料纳入试验,回顾性分析超声诊断结果,并与病理学诊断结果相互比较,分析产前超声诊断应用价值。结果:本组60例孕妇中,经产前超声检查发现胎儿肾脏发育异常者58例,其临床诊断符合率高达96.67%,包括48.28%(28/58)多囊肾、35.71%(10/58)肾积水、20.69%(12/58)多发性囊性发育不良肾、13.79%(8/58)肾脏发育不全;经病理学诊断发现48.33%(29/60)多囊肾、18.33%(11/60)肾积水、20.00%(12/60)多发性囊性发育不良肾、13.33%(8/50)肾脏发育不全;两种方法诊断符合率之间并不存在明显差异(P>0.05)。结论:产前超声诊断对胎儿肾脏发育异常的临床应用价值较高。

Objective:To explore the clinical application value of prenatal ultrasound diagnosis for fetal renal dysplasia.Methods:The clinical data of 60 pregnant women who underwent prenatal ultrasound examination in our hospital from January 2019 to December 2019 were included in the experiment.The ultrasonic diagnosis results were retrospectively analyzed and compared with pathological diagnosis results,and the application value of prenatal ultrasound diagnosis was analyzed.Results:Among the 60 pregnant women in this group,58 cases of fetal renal dysplasia were found by prenatal ultrasound examination.The clinical diagnostic coincidence rate was as high as 96.67%,including 48.28%(28/58)polycystic kidney,35.71%(10/58)hydronephrosis,20.69%(12/58)multiple cystic dysplastic kidney,and 13.79%(8/58)renal hypoplasia.Pathological diagnosis revealed 48.33%(29/60)polycystic kidney,18.33%(11/60)hydronephrosis,20.00%(12/60)polycystic dysplastic kidney and 13.33%(8/50)renal hypoplasia.There was no significant difference between the diagnostic coincidence rates of the two methods(P>0.05).Conclusion:Prenatal ultrasound diagnosis has high clinical application value for fetal renal dysplasia.