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彩色脉冲多普勒超声测量胎儿脐动脉和子宫动脉血流以早期预测胎儿宫内生长受限

[Color pulsed Doppler ultrasound measurement of fetal umbilical and uterine arteries blood flow for early predict of intrauterine growth retardation].

作者信息

Qiu X H

机构信息

Changzheng Hospital, Shanghai Second Military Medical College.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1991 Sep;26(5):268-71, 321-2.

PMID:1935404
Abstract

The fetal umbilical and uterine arteries blood flow in 180 pregnant women (normal group and suspected IUGR group are separately 90 pregnancy) were measured by color pulsed Doppler ultrasound in this report. The predicting value for IUGR of Doppler ultrasound was comprised with that of the diagram of pregnancy and real-time ultrasound. There were 39 cases of IUGR, three cases of perinatal death and 138 normal infants in total 180 pregnancy. The sensitivity, specificity and positive predicting value of fetal umbilical flow for predicting IUGR were separately 78.57%, 93.75% and 91.67%. The results suggest that Doppler ultrasound blood flow measurement can predict IUGR much earlier than the diagram of pregnancy and real-time ultrasound. Combining to use Doppler ultrasound with real-time ultrasound measurement have highest sensitivity and accuracy.

摘要

本报告采用彩色脉冲多普勒超声测量了180例孕妇(正常组和疑似胎儿生长受限组各90例妊娠)的胎儿脐动脉和子宫动脉血流。将多普勒超声对胎儿生长受限的预测价值与妊娠图和实时超声的预测价值进行了比较。180例妊娠中共有39例胎儿生长受限、3例围产儿死亡和138例正常婴儿。胎儿脐血流预测胎儿生长受限的敏感性、特异性和阳性预测值分别为78.57%、93.75%和91.67%。结果表明,多普勒超声血流测量比妊娠图和实时超声能更早地预测胎儿生长受限。联合使用多普勒超声和实时超声测量具有最高的敏感性和准确性。

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