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决定产前减压治疗肾盂积水的胎儿之前,宜仔细估价胎儿包括核型分析及探查共存的畸形。超声波检查泌尿道梗阻的胎儿,可看出泌尿道扩张的部位及程度,但不能确定肾功能。本文报告4例患泌尿系统梗阻的胎儿,治疗前吸出尿液行生化分析,显示胎儿肾功能与出生后的检查一致。例一:孕32周,超声检查发现胎儿双侧肾盂积水及膀胱扩张,腹水。在超声指导下抽出尿液及腹水各120ml,35周时因胎儿泌尿道再度出现扩张又
Before determining the prenatal hydronephrosis hydronephrosis of the fetus, careful assessment of the fetus, including karyotyping and probing coexistence deformity. Ultrasound examination of fetal urinary tract obstruction, we can see the location and extent of urinary tract expansion, but can not determine renal function. This article reports 4 cases of urinary tract obstruction fetus, urinary excretion before treatment biochemical analysis showed that fetal kidney function consistent with the examination after birth. Example 1: 32 weeks pregnant, ultrasound examination found bilateral fetal hydronephrosis and bladder expansion, ascites. Urine and ascites were removed under the guidance of ultrasound 120ml, 35 weeks due to fetal urinary tract re-emergence of expansion