A magzati vese ultrahangvizsgálata toxaemiás terhességekben.

Translated title of the contribution: Fetal renal ultrasound investigation in toxaemic pregnancies

Andrea Surányi, Károly Streitman, László Kovács, A. Pál

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: A relationship was sought between renal hyperechogenicity and the hypoxic state of fetuses. MATERIAL AND METHODS: 120 pathological pregnancies were examined between the 28th and 36th weeks. The echogenicity of the fetal kidneys was examined with Combison 530 3D ultrasound equipment fitted with a 3-5 MHz transabdominal transducer. The serum kidney and liver functions and plasma electrolytes of the mothers were examined and blood was collected from the pulsating umbilical artery for determination of the same serum parameters. After delivery, the physical condition of the neonates was followed and their kidneys were examined with the same ultrasound equipment within the first 5 days. RESULTS: There was a significant difference between the cases with fetal renal hyperechogenicity and without it for the pathological neonatal clinical outcome (chi-square test with Yates correction, p <0.01). There were significantly more intrauterine retarded fetuses (6 cases, 40%) in cases with fetal renal hyperechogenicity, than in the control group (3 cases, 3%). The mode of delivery was caesarean section in 7 cases (46%) in group with fetal renal hyperechogenicity, while it were 6 cases (6%) in control group. The risk for pathological outcome is 6 times more in cases with fetal renal hyperechogenicity. CONCLUSION: The results demonstrate that fetuses exhibiting renal hyperechogenicity in pathological pregnancies require particularly careful obstetric control and neonatological consultation. It is important that hyperechogenic cases be admitted to a perinatal intensive care unit. Fetal renal hyperechogenicity is considered to be associated with an enhanced risk of adverse perinatal outcome.

Original languageHungarian
Pages (from-to)1511-1516
Number of pages6
JournalOrvosi Hetilap
Volume145
Issue number29
Publication statusPublished - Jul 18 2004

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Kidney
Pregnancy
Fetus
Perinatal Care
Equipment and Supplies
Control Groups
Umbilical Arteries
Chi-Square Distribution
Transducers
Serum
Cesarean Section
Electrolytes
Obstetrics
Intensive Care Units
Referral and Consultation
Mothers
Newborn Infant
Liver

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Surányi, A., Streitman, K., Kovács, L., & Pál, A. (2004). A magzati vese ultrahangvizsgálata toxaemiás terhességekben. Orvosi Hetilap, 145(29), 1511-1516.

A magzati vese ultrahangvizsgálata toxaemiás terhességekben. / Surányi, Andrea; Streitman, Károly; Kovács, László; Pál, A.

In: Orvosi Hetilap, Vol. 145, No. 29, 18.07.2004, p. 1511-1516.

Research output: Contribution to journalArticle

Surányi, A, Streitman, K, Kovács, L & Pál, A 2004, 'A magzati vese ultrahangvizsgálata toxaemiás terhességekben.', Orvosi Hetilap, vol. 145, no. 29, pp. 1511-1516.
Surányi A, Streitman K, Kovács L, Pál A. A magzati vese ultrahangvizsgálata toxaemiás terhességekben. Orvosi Hetilap. 2004 Jul 18;145(29):1511-1516.
Surányi, Andrea ; Streitman, Károly ; Kovács, László ; Pál, A. / A magzati vese ultrahangvizsgálata toxaemiás terhességekben. In: Orvosi Hetilap. 2004 ; Vol. 145, No. 29. pp. 1511-1516.
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