摘要
目的:探讨小儿先天性肾积水的超声诊断及临床意义。方法:对126例不同类型泌尿系统畸形患儿采用不同治疗方法,并进行B超追踪随访,观察超声检查对小儿肾积水诊断及治疗结果。结果:126例患儿超声诊断肾积水84例,其中单肾积水62例,双肾积水22例,根据不同程度的肾盂分离标准分类,轻度肾积水35例,中度肾积水30例,重度肾积水19例。84例肾积水病例经追踪随访,1例经IVU检查证实为重复肾,2例综合检查及术中证实为肾囊肿,其余81例经手术或保守治疗,证实为肾积水病例。超声诊断泌尿系统畸形患儿肾积水的正确率为96.4%。结论:超声检查是小儿泌尿系畸形的常规及有效的检查方法,可以有效的诊断泌尿系的畸形,进行肾积水的分度,并大致判断肾脏功能,对治疗方式的选择及术后恢复观察随诊有重要作用。
Objective： To discuss the ultrasonic diagnosis and clinical significance of the chiren with congenital hydronephrosis. Methods： 126 children with different types of urinary tract deformities in our hospital chosen from March, 2014 to May, 2015 were treated with different treatments and were carried on ultrasound follow-up. The ultrasound diagnosis and treatment of pediatric kidney seeper results were observed. Rseults： Among the 126 cases, 84 were diagnosed with renal water, 62 cases of single kidney water, 22 cases of double kidney water, 35 cases of mild renal water, 30 cases of moderate renal water, 19 cases of severe renal water. By 84 cases of hydronephrosis follow-up, 1 case was confirmed by IVU as repeat renal, 2 cases were renal cyst, and the remaining 81 cases were confirmed as hydronephrosis by operation or conservative treatment. The accuracy rate of ultrasound diagnosis of hydronephrosis in children with urinary tract malformation is 96.4%. Conclusion： Ultrasound testing is the conventional and effective method of urinary tract malformation in children. It is effective in the diagnosis of urinary tract malformation and degree of hydronephrosis, and in general judgment of renal function. It plays an important role in the choice of treatment and postoperative recovery follow-up.
出处
《赣南医学院学报》
2015年第6期873-875,共3页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
基金
江西省卫生和计划生育委员会(20133148)
关键词
泌尿系统畸形
超声诊断
肾积水
urinary system malformation
ultrasonic diagnosis
uronephrosis
