超声诊断胎儿先天性肾脏畸形的价值

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (09): 1086-1089.

超声诊断胎儿先天性肾脏畸形的价值

周琦¹, 纪宗正², Jim Cardoza³

1. 西安交通大学第二医院超声研究室, 陕西, 西安, 710004;
2. 西安交通大学第二医院外科, 陕西, 西安, 710004;
3. Alta Bates Perinatal Diagnostic Center, 5730 Telegraph A venue, Oakland, CA 94609

出版日期:2005-09-20 发布日期:2005-09-20
基金资助:
收稿日期:2005-3-14。
作者简介:ZHOU Qi(1966- ),PhD candidate,associated chiefphysician.

Value of ultrasound in the diagnosis of congenital renal malformations

ZHOU Qi¹, Ji Zong-zheng², Jim Cardoza³

1. 西安交通大学第二医院超声研究室, 陕西, 西安, 710004;
2. 西安交通大学第二医院外科, 陕西, 西安, 710004;
3. Alta Bates Perinatal Diagnostic Center, 5730 Telegraph A venue, Oakland, CA 94609

Online:2005-09-20 Published:2005-09-20

摘要/Abstract

摘要： 目的探讨超声诊断胎儿先天性肾脏畸形的价值。方法对美国加州一产前诊断中心5年中做产科超声的孕妇检查结果进行分析。结果发现各种肾脏畸形占58例,其中肾发育不全者4例、多囊肾8例、梗阻引起的囊样肾畸型5例、肾与输尿管重复畸形6例、异位肾6例、肾积水18例、染色体隐性遗传的多囊肾疾病3例。染色体显性遗传的多囊肾疾病2例、先天性肾小球功能异常1例、Meckel-Gruber综合征3例、Beckwith-Wiedemann综合征2例。分析各种畸形的声像图特点,不同类型肾畸形有不同声像图表现,并与其胚胎发育过程异常相关。结论泌尿系统畸形对妊娠结果有着重要的影响,特别是伴有羊水过少时,超声能准确地发现和诊断泌尿系畸形,在诊断胎儿先天性肾脏畸形中有重要价值。了解畸形的发生原因,可更好理解其预后,为临床提供准确诊断和处理依据。

Abstract: Objective To assess the value of ultrasound in diagnosis of congenital renal malformations. Methods The records of obstetric ultrasound examinations were reviewed in all the pregnant women admitted in Alta Bates Perinatal Diagnostic center (Oakland, California, USA) during 5 years. Results Ultrasound examination identified 58 cases of congenital renal malformations of different kinds, including 4 cases of renal agenesis, 8 multicystic dysplastic kidney, 5 cystic renal dysplasia with obstructions, 6 renal and ureteral duplications, 6 ectopic kidneys, 18 hydronephroses, 3 autosomal recessive polycystic kidney diseases, 2 autosomal dominant polycystic diseases, 1 Finnish-type congenital nephrosis, 3 Meckel-Gruber syndromes, and 2 Beckwith-Wiedemann syndromes. Different renal malformations had different ultrasound findings that correlated to abnormalities in embryonic developments. Conclusions Urinary tract abnormalities have a profound effect on pregnancy outcome, especially when associated with oligohydramnios. Many urinary anomalies can be readily detected and diagnosed by ultrasound, which provides a useful modality in diagnosis of fetal congenital renal malformations. Clear understanding of the causes of these abnormalities facilitates prognostic evaluation and clinical decision on the treatment protocol.

中图分类号:

R445.1

周琦¹, 纪宗正², Jim Cardoza³. 超声诊断胎儿先天性肾脏畸形的价值[J]. 南方医科大学学报, 2005, 25(09): 1086-1089.

ZHOU Qi¹, Ji Zong-zheng², Jim Cardoza³. Value of ultrasound in the diagnosis of congenital renal malformations[J]. Journal of Southern Medical University, 2005, 25(09): 1086-1089.

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