Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, 853 Jefferson Avenue, Memphis, TN 38103, USA.
Clin Perinatol. 2011 Mar;38(1):83-102, vi. doi: 10.1016/j.clp.2010.12.003.
Doppler velocimetry of the middle cerebral artery (MCA) has played a major role in fetal medicine for the last 23 years, both in intrauterine growth-restricted (IUGR) and anemic fetuses. Its utility in the diagnosis and management of cases of fetal anemia was initially demonstrated in cases of red cell alloimmunization and later extended to other types of anemia. In addition, MCA Doppler studies are crucial in the evaluation of IUGR fetuses. This article is a review of the role of the MCA in these 2 conditions.
经颅多普勒超声(Doppler velocimetry)检测大脑中动脉(MCA)在过去的 23 年中在胎儿医学中发挥了重要作用,无论是在宫内生长受限(IUGR)还是贫血胎儿中。其在诊断和管理胎儿贫血病例中的应用最初在红细胞同种免疫病例中得到证实,后来扩展到其他类型的贫血。此外,MCA 多普勒研究对于评估 IUGR 胎儿至关重要。本文综述了 MCA 在这两种情况下的作用。