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目的:评价胎儿肾盂扩张的预后,指导临床采取适当的治疗。方法:采用彩色多普勒超声诊断仪对2010年在广西壮族自治区妇幼保健院行胎儿系统超声检查发现肾盂扩张胎儿204例315只肾,动态观察其扩张的程度及形态,探查膀胱及输尿管并生后随访。结果:轻度胎儿肾盂扩张常生后消失;胎儿时期进展的肾盂扩张常合并泌尿系畸形,提示生后愈后不良;伴其他畸形时提示胎儿染色体异常。结论:超声动态观察胎儿肾盂扩张能较早的对胎儿肾盂扩张程度进行综合分析评价及生后评价。
Objective: To evaluate the prognosis of fetal renal pelvis dilatation, to guide the clinical treatment. Methods: The color Doppler ultrasound diagnostic apparatus of maternal and child health hospital in Guangxi Zhuang Autonomous Region in 2010 fetus fetal system ultrasound examination revealed 204 cases of pyelonear fetal 315 cases of kidney, dynamic observation of the extent and morphology of expansion, exploration of bladder and ureter with Follow-up. Results: Fetal pyelonephritis disappeared after birth; Fetal dilatation of renal pelvis often associated with urinary malformations, suggesting that after birth, poor; with other deformities prompted fetal chromosomal abnormalities. Conclusion: Ultrasound dynamic observation of fetal pyelonephrosis can be an earlier analysis of fetal pyel extension extent and postnatal evaluation.