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[胎儿体重的超声估计]

[Ultrasonic estimation of fetal weight].

作者信息

Shalev E, Nasar H, Ben-Ami M, Romano S, Weiner E

机构信息

Dept. of Obstetrics and Gynecology, Central Emek Hospital, Afula.

出版信息

Harefuah. 1991 May 1;120(9):506-9.

PMID:1937230
Abstract

To generate formulas to estimate fetal weight on the basis of sonographic measurements, 226 pregnant women were scanned within 3 days of delivery. Measurements included: biparietal diameter, head circumference and area, abdominal circumference and area, and femoral length. The contribution of each parameter to the estimation of fetal weight was tested by stepwise regression analysis. The best dependent variable was found to be the log of weight. The formula based on cranial and abdominal parameters proved to be inaccurate, especially when fetal weight was less than 2500 g. The addition of femoral length improved weight estimation, with a multiple r of 0.95174. The addition of gestational age led to even more accurate formulas. The most accurate found was based on biparietal diameter, abdominal circumference, femoral length and gestational age, with a multiple r of 0.95651 and an absolute mean error of 7.976 +/- 5.657%. It also produced better weight estimates at the 2 extremes of fetal weight.

摘要

为了生成基于超声测量来估计胎儿体重的公式,对226名孕妇在分娩前3天内进行了扫描。测量项目包括:双顶径、头围及面积、腹围及面积以及股骨长度。通过逐步回归分析测试了每个参数对胎儿体重估计的贡献。发现最佳因变量是体重的对数。基于头颅和腹部参数的公式被证明不准确,尤其是当胎儿体重小于2500克时。加入股骨长度可改善体重估计,复相关系数为0.95174。加入孕周可得到更准确的公式。发现最准确的公式基于双顶径、腹围、股骨长度和孕周,复相关系数为0.95651,绝对平均误差为7.976 +/- 5.657%。它在胎儿体重的两个极端情况下也能产生更好的体重估计。

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