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目的探讨产前超声诊断在胎儿泌尿系统畸形中的应用。方法回顾分析42例产前超声诊断出泌尿系统畸形胎儿的声像图资料,将产前诊断较高和引产后病理解剖或分娩后体检结果进行对比。结果 42例产前超声诊断泌尿系统畸形胎儿中,肾积水18例(42.9%)、肾囊肿13例(30.9%)、单侧肾6例(14.3%)、肾发育不良3例(7.1%)、马蹄肾2例(4.8%);其中,分娩15例,引产24例,死胎3例,有41例产前超声诊断结果与产后检查结果一致,符合率为97.6%,1例误诊为肾积水,产后病症消失。结论产前超声诊断对于胎儿泌尿系统畸形具有重要的意义,可为临床采取措施提供有效的诊断参考。
Objective To investigate the application of prenatal ultrasound in the diagnosis of fetal urinary malformations. Methods A retrospective analysis of 42 cases of prenatal ultrasound diagnosis of urinary malformation fetus sonographic data, the prenatal diagnosis and postpartum pathological anatomy or postpartum physical examination results were compared. Results Among 42 cases of prenatal ultrasound diagnosed urinary malformation fetus, hydronephrosis was found in 18 cases (42.9%), renal cysts in 13 cases (30.9%), unilateral renal in 6 cases (14.3%), renal dysplasia in 3 cases (7.1% ), Horseshoe kidney in 2 cases (4.8%); Among them, 15 cases of childbirth, induction of labor in 24 cases, 3 cases of stillbirth, 41 cases of prenatal ultrasound findings and postpartum examination results consistent with a rate of 97.6%, 1 case misdiagnosed as kidney Water, postpartum symptoms disappear. Conclusion Prenatal ultrasound diagnosis of fetal urinary system deformity has important significance for clinical measures to provide an effective diagnostic reference.