摘要
目的 超声动态观察中晚期妊娠胎儿肾盂分离程度 ,区别胎儿一过性肾积水或器质性肾积水。方法 应用超声动态观察胎儿肾盂分离的厚度及形态 ,同时仔细探查膀胱及输尿管。对肾盂分离持续存在者 ,出生后再次检查新生儿泌尿系情况。结果 2 7例 46只肾首次超声检查发现有肾盂分离者 ,经动态观察有 37只肾盂分离完全消失。 9只肾盂分离持续存在者 ,分离的肾盂形态变饱满 ,呈烟斗形或囊状 ;其中上尿路梗阻 7 9只肾 ,下尿路梗阻 2 9只肾 ,这 9只肾盂分离者在出生后经超声、X线造影及手术证实均有泌尿系器质性梗阻性病变。结论 超声动态观察肾盂分离厚度、形态 。
Objective Transient hydronephrisis or substantial hydronphrosis is identified by ultrasonic dynamic observation of fetal pyelic separated edgree in midtrimester of pregnancy and late pregnany.Method ultrasonic dynamic observation of thickness and appearance of fetal pyelic separation is applied.The urinary system of newbon with sustained pyelic separation is re-examind.Result Pyelic separation has been originally discovered by ultrasound in 46 kidneys of 27 cases and according to dynamic observation it disappears completely in 37 kidneys.The separaiton thickmess increases gradually in every examination and the pipe-shaped or cystomorphous appearance bexones full in 9 kidneys of 8 cases with sustained fetal pyelic separation,among the total,7/9 kidneys are upper-urethra observation and 2/9kidneys are lower observation.The 9 kidneys urinary organic obstructive lesion are confirmed by postmatal ultrasonic,radiographic examination and operation.Conlusion urinary organic obstructive lesion of fetus can be suggested antepartum by ultrasonic dynamic observation of thickness and appearance of pyelic separation.
出处
《临床超声医学杂志》
2001年第6期369-370,共2页
Journal of Clinical Ultrasound in Medicine
