Department of Obstetrics and Gynecology, University of Missouri Kansas City School of Medicine, Kansas City, MO, USA.
Clin Perinatol. 2011 Mar;38(1):65-82, vi. doi: 10.1016/j.clp.2010.12.004.
Antepartum fetal surveillance with Doppler ultrasound of umbilical artery has shown significant diagnostic efficacy in identifying fetal compromise in pregnancies complicated with fetal growth restriction (FGR). Its effectiveness in decreasing perinatal mortality has been shown by randomized clinical trials (Level I evidence). This test is the only antepartum fetal test that has shown this level of effectiveness and should be the standard of practice in managing FGR (Level A recommendation). The overall management considerations should encompass other standard fetal monitoring tests (Level B and C recommendations).
产前胎儿监护采用多普勒超声脐动脉检测，在识别胎儿生长受限（FGR）合并妊娠胎儿窘迫方面具有显著的诊断效果。随机临床试验（一级证据）表明其降低围产儿死亡率的效果。这是唯一一项具有这种效果的产前胎儿检测，应作为管理 FGR 的实践标准（A级推荐）。整体管理注意事项应包括其他标准胎儿监测检测（B 级和 C 级推荐）。
