Fetal urinary system abnormalities on ultrasound diagnosis and follow-up.docVIP

 PAGE \* MERGEFORMAT 10 Fetal urinary system abnormalities on ultrasound diagnosis and follow-up [Keywords:] ultrasonic diagnosis of fetal urinary tract abnormalities Fetal urinary system abnormalities is directly related to child survival and perinatal outcome. Fetal urinary system abnormalities there is a huge variation, from mild to lethal congenital malformations of the urinary tract obstruction, and obstructive cystic kidney disease, and there are great variability. Therefore, ultrasound technology with the development of the fetus more accurate diagnosis of urinary tract abnormalities, and clinical management of prenatal and postnatal care have a certain significance. Subjects and methods 1. Target: January 2000 ~ December 2007 in our hospital outpatient ultrasound prenatal diagnosis of fetal urinary system abnormalities in 112 fetuses. B ultrasonic diagnosis times are over 20 weeks, singleton pregnancies. Each of the fetus during pregnancy 4 to 6 weeks for review 1, the last check time (36 + -2) weeks. And within 3 d after delivery, 1,3,6,12 months after birth, B-up examination, respectively, were followed up to 6 months postpartum, individual patients were followed up for 5 years. 2. Hydronephrosis ultrasound diagnostic criteria: Take measurements of fetal renal pelvis anteroposterior diameter of the cross section. According to the renal pelvis, calyx separation, see Feldman et al [1] and the Association of American baby [2], the classification of water into the renal pelvis normal, mild, moderate, severe. 20 to 30 weeks of pregnancy before and after renal pelvic diameter of lt;5 mm is normal, 5 ~ 8 mm 9 ~ 15 mm for the mild to moderate;gt; 15 mm severe. More than 30 weeks pregnant pelvic anteroposterior diameter lt;7 mm is normal; 7 ~ 9 mm mild; 10 ~ 15 mm this medium;gt; 16 mm severe. Results 1. The types of urinary system anomalies: the type of fetal urinary tract anomalies in simple hydronephrosis, the most common, accounting