Correlation study on kidney size and various growth indexes in fetuses of different gestational ages
Aziguli Mayier1* GUAN Huanhuan2* LI Xiaohe2
1.Department of Obstetrics, General Hospital of Ningxia Medical University, Ningxia Hui Autonomous Region, Yinchuan 750001, China;
2.Department of Human Anatomy, Basic Medical College, Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010000, China
Abstract:Objective To investigate the correlation on kidney size and various growth indexes in fetuses of different gestational ages. Methods A total of 127 normal single pregnancy in General Hospital of Ningxia Medical University from August 2018 to February 2019 were selected as study objects. According to gestational age, they were divided into 24-27 week group (19 cases), 28-31 weeks group (22 cases), 32-35 weeks group (44 cases), 36-40 weeks group (42 cases). Ultrasonography was used to measure fetal biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femoral length (FL), longitudinal and transverse diameters of both kidneys. The correlation between kidney size and fetal growth indexes were analyzed. Results There was no significant difference in longitudinal and transverse diameters of both kidneys among four groups. The kidney size was positively correlated with gestational age, BPD, HC, AC and FL, and all were linearly correlated. Conclusion The measurement of fetal kidney size can be used as a reliable indicator to judge whether fetal kidney develops normally. By analyzing the relationship between fetal kidney and each growth index can understand the development of kidney laterally, understand the overall development of fetus comprehensively, and judge whether fetal development is unbalanced.
阿孜古力·马义尔1* 关欢欢2* 李筱贺2. 不同孕龄胎儿肾脏大小及与各生长指标的相关性研究[J]. 中国医药导报, 2020, 17(21): 100-102.
Aziguli Mayier1* GUAN Huanhuan2* LI Xiaohe2. Correlation study on kidney size and various growth indexes in fetuses of different gestational ages. 中国医药导报, 2020, 17(21): 100-102.
[1] Edevbie JP,Akhigbe AO. Ultrasound measurement of fetal kidney length in normal pregnancy and correlation with gestational age [J]. Niger J Clin Pract,2018,21(8):960-966.
[2] Nwagha UI,Ugwu OV,Nwagha TU,et al. The influence of parity on the gestational age at booking among pregnant women in Enugu,South East Nigeria [J]. Niger J Physiol Sci,2008,23(1/2):67-70.
[3] Brattain LJ,Telfer BA,Dhyani M,et al. Machine learning for medical ultrasound:status,methods,and future opportunities [J]. Abdom Radiol(NY),2018,43(4):786-799.
[4] Huang Q,Zhang F,Li X. Machine Learning in Ultrasound Computer-Aided Diagnostic Systems:A Survey [J]. Biomed Res Int,2018,2018:5137904.
[5] ?魡hman A,Edvardsson K,Fagerli TA,et al. A much valued tool that also brings ethical dilemmas-a qualitative study of Norwegian midwives′experiences and views on the role of obstetric ultrasound [J]. BMC Pregnancy Childbirth,2019,19(1):33.
[6] Warska A,Maliszewska A,Wnuk A,et al. Current knowledge on the use of ultrasound measurements of fetal soft tissues for the assessment of pregnancy development [J]. J Ultrason,2018,18(72):50-55.
[7] Abonyi EO,Eze CU,Agwuna KK,et al. Sonographic estimation of gestational age from 20 to 40 weeks by fetal kidney lengths′measurements among pregnant women in Port-harcourt,Nigeria [J]. BMC Med Imaging,2019,19(1):72.
[8] 解左平,金社红,沈晓燕,等.超声测量不同孕周胎儿肾脏大小及其临床意义[J].中国妇幼保健,2007(15):2127-2129.
[9] 徐英姿,唐海林,冯泽阳,等.超声定量正常胎儿肾脏大小的Z评分研究[J].中华医学超声杂志:电子版,2017, 14(6):458-461.
[10] 张永泉,陈琪玮.B超检测胎儿肾脏发育情况的研究[J].中国优生与遗传杂志,2005(6):92-128.
[11] 王军梅.胎儿肾脏的超声测量及其在判断胎儿肾积水预后中的价值[D].杭州:浙江大学,2013.
[12] 李胜利,邓学东.产前超声检查指南(2012)[J].中华医学超声杂志:电子版,2012,9(7):574-580.
[13] Osho ES,Ibitoye BO,Adetiloye VA,et al. Ultrasonic determination of gestational age by assessment of fetal kidney size in the third trimester in southwest Nigeria [J]. Int J Gynaecol Obstet,2019,144(3):271-276.
[14] Seilanian Toosi F,Rezaie-Delui H. Evaluation of the normal fetal kidney length and its correlation with gestational age [J]. Acta medica Iranica,2013,51(5):303-306.
[15] Ugur MG,Mustafa A,Ozcan HC,et al. Fetal kidney length as a useful adjunct parameter for better determination of gestational age [J]. Saudi Med J,2016,37(5):533-537.
[16] Konje JC,Abrams KR,Bell SC,et al. Determination of gestational age after the 24th week of gestation from fetal kidney length measurements [J]. Ultrasound Obstet Gynecol,2002,19(6):592-597.
[17] Witzani L,Brugger PC,H?觟rmann M,et al. Normal renal development investigated with fetal MRI [J]. Eur J Radiol,2006,57(2):294-302.
[18] Brennan S,Watson D,Rudd D,et al. Evaluation of fetal kidney growth using ultrasound:A systematic review [J]. Eur J Radiol,2017,96:55-64.
[19] Brennan S,Schneider M,Watson D,et al. The renal parenchyma—evaluation of a novel ultrasound measurement to assess fetal renal development:protocol for an observational longitudinal study [J]. BMJ Open,2017,7(12):e019369.