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妊娠中晚期二维与三维超声检查:对识别及母婴联结的影响。一项前瞻性试点研究。

Two- versus three-dimensional ultrasound in the second and third trimester of pregnancy: impact on recognition and maternal-fetal bonding. A prospective pilot study.

作者信息

Lapaire Olav, Alder Judith, Peukert Regina, Holzgreve Wolfgang, Tercanli Sevgi

机构信息

Department of Obstetrics and Gynecology, University Hospital Basel, Spitalstrasse 21, CH-4031 Basel, Switzerland.

出版信息

Arch Gynecol Obstet. 2007 Nov;276(5):475-9. doi: 10.1007/s00404-007-0368-7. Epub 2007 Apr 25.

DOI:10.1007/s00404-007-0368-7
PMID:17457600
Abstract

OBJECTIVE

To assess the impact of three-dimensional (3D) versus two-dimensional (2D) ultrasound (US) on maternal-fetal bonding.

STUDY DESIGN

Prospective randomized pilot study among low risk women with singleton fetuses in the second and third trimester. Dependent on the randomization pattern, US was commenced either with 2D US or 3D US and the effects were recorded with standardized questionnaires.

RESULTS

Sixty patients were included. Although the quality of 2D US, assessed by the examinator, was superior to 3D US, maternal recognition was higher with 3-D US (P = 0.004). With 2D US, nulliparous patients had significantly more difficulties visualizing the fetus, than multiparous (P = 0.03). However, the maternal preference of 3D US had no significant impact on maternal-fetal bonding.

CONCLUSION

Ultrasound had no significant effect on maternal-fetal bonding. Three-dimensional images may facilitate recognition of the fetus, but 3D US did not have higher impact on maternal-fetal bonding. This finding may be a reason not to consider 3D ultrasound for routine scanning.

摘要

目的

评估三维(3D)与二维(2D)超声(US)对母婴情感联结的影响。

研究设计

对孕中期和孕晚期单胎低风险孕妇进行前瞻性随机试点研究。根据随机分组模式,超声检查分别从二维超声或三维超声开始,并使用标准化问卷记录其效果。

结果

纳入60例患者。尽管检查者评估二维超声的质量优于三维超声,但三维超声的母亲识别率更高(P = 0.004)。对于二维超声,初产妇比经产妇在可视化胎儿方面困难显著更多(P = 0.03)。然而,母亲对三维超声的偏好对母婴情感联结没有显著影响。

结论

超声对母婴情感联结没有显著影响。三维图像可能有助于胎儿识别,但三维超声对母婴情感联结的影响并不更大。这一发现可能是不考虑将三维超声用于常规扫描的一个原因。

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