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异位肾在儿童早期阶段诊断率不高,但是感染和病率的重要因素。本文报道一例出生前用超声诊断的胎儿异位肾。患者30岁,第7次妊娠,于孕18周登记入册。第一胎于孕32周胎死宫内,第二胎孕20周由于无脑儿终止妊娠,其后有2次孕12周自然流产和正常分娩两个孕38周的女性活婴。此次妊娠前曾应用克罗米芬(50mg,在周期第3～8天)诱发排卵,并在妊娠早期每周注射黄体酮。孕17周常规超声检查,未见明显胎儿畸形,孕28周因怀疑胎儿宫内发育迟缓,再次超声扫描,胎儿发育和羊水量均正常,在膀胱右上方见到约8×8mm的回声区,未见其他异常,左肾位置正常,而右侧未见到,外生殖器提示
Ectopic kidney diagnosis in early childhood is not high, but an important factor in infection and morbidity. This article reports a case of prenatal ultrasound diagnosis of fetal ectopic kidney. Patient 30 years old, 7th pregnancy, enrolled 18 weeks pregnant. The first child was 32 weeks pregnant with fetal death, the second child of 20 weeks of pregnancy due to no brain termination of pregnancy, followed by two 12 weeks pregnant 12 weeks of spontaneous abortion and normal delivery of two 38-week pregnant women living infants. Clomiphene citrate (50 mg on days 3-8 of the cycle) was used to induce ovulation and progesterone was given weekly during the first trimester. Week 17 gestational ultrasound examination, no obvious fetal malformations, 28 weeks pregnant due to suspected intrauterine growth retardation, again ultrasound scan, fetal development and amniotic fluid volume are normal, right in the bladder to see about 8 × 8mm echo area, No other abnormalities, left kidney normal position, while not seen on the right, genitalia prompted