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目的应用超声评价胎儿肾积水的转归及预后。方法将我院常规产前检查发现肾积水的57例患者根据APD大小(<10mm),(10-15mm),(>15mm)分为ABC 3组。所有病例均于首次检查后1个月,产前及生后1月,6月,12月进行随访复查,以了解肾积水的变化。结果 57例中,42例肾积水无变化或程度减轻者均来自A和B组;5例引产,3例为B组病例,2例为C组病例;10例行手术治疗:B组7例,C组3例。结论应用超声对胎儿肾积水进行综合分析,可较好地评价胎儿的预后。对于胎儿肾积水宽度<1.5cm或肾实质厚度>0.5cm的病例一般可以认为预后较好,而肾积水宽度>2.5cm或肾实质厚度<0.2cm的病例应密切观察确定是否手术治疗。
Objective To evaluate the outcome and prognosis of fetal hydronephrosis by ultrasound. Methods According to the APD size (<10mm), (10-15mm), and (> 15mm), ABC patients were divided into three groups according to 57 cases of hydronephrosis found in routine prenatal examination in our hospital. All cases were followed up 1 month after the first examination, prenatal and postnatal January, June, December to understand the changes of hydronephrosis. Results Among the 57 cases, 42 cases had no change or degree of hydronephrosis were from group A and B; 5 cases were induced abortion, 3 cases were group B and 2 cases were group C; 10 cases were treated by operation B: group 7 Cases, C group of 3 cases. Conclusion The comprehensive analysis of fetal hydronephrosis with ultrasound can be a better assessment of fetal prognosis. For fetal hydronephrosis <1.5cm in width or renal parenchyma> 0.5cm in general can be considered a good prognosis, and hydronephrosis width> 2.5cm or renal parenchymal thickness <0.2cm cases should be closely observed to determine whether the surgical treatment.