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目的探讨胎儿泌尿系统畸形的产前超声诊断。方法选取本院2012年5月-2014年6月行本院超声检查的5510例孕妇,对其检查为胎儿泌尿系统畸形的58例孕妇进行回顾性分析。结果泌尿系统畸形胎儿发生率为1.05%(58/5510)。58例泌尿系统畸形胎儿结果为:肾积水为25(43.10%)例,肾囊肿为15(25.86%)例,肾发育不全为10(17.24%)例,单边肾为3(5.17%)例,多囊肾为3(5.17%)例,马蹄肾为2(3.45%)例。58例患者中引产为48例,分娩为8例,死胎为2例,57例(98.28%)患者产前超声检测与产科状况一致,1例患者出现误诊,误诊为肾积水,经分娩后随访记录胎儿肾积水消失。结论产前超声检查可明确诊断胎儿泌尿系统畸形,且操作简单,检出率高,为临床提供有效的保障,值得临床长期推广应用。
Objective To investigate the prenatal diagnosis of fetal urinary malformations. Methods A total of 5510 pregnant women who underwent ultrasound examination from May 2012 to June 2014 in our hospital were retrospectively analyzed in 58 pregnant women whose fetal urinary malformations were examined. Results The incidence of urinary malformation fetus was 1.05% (58/5510). 58 cases of urinary malformation fetus results: 25 (43.10%) cases of hydronephrosis, renal cysts 15 cases (25.86%), renal hypoplasia 10 cases (17.24%) cases, unilateral renal 3 (5.17% Cases, polycystic kidney disease was 3 (5.17%) cases, horseshoe kidney 2 (3.45%) cases. 58 cases of induced abortion in 48 cases, delivery of 8 cases, 2 cases of stillbirth, 57 cases (98.28%) patients with prenatal ultrasound and obstetric status, one patient misdiagnosed as misdiagnosed as hydronephrosis, after delivery Follow-up records of fetal hydronephrosis disappeared. Conclusion Prenatal ultrasound can diagnose fetal malformations of the urinary system, and the operation is simple, the detection rate is high, providing effective protection for the clinical and worthy of long-term clinical promotion.