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子宫胎盘血流速度波形作为不良胎儿结局和妊娠高血压综合征的预测指标。

Uteroplacental blood flow velocity waveforms as a predictor of adverse fetal outcome and pregnancy-induced hypertension.

作者信息

Kurmanavichius J, Baumann H, Huch R, Huch A

机构信息

Department of Obstetrics and Gynecology, University of Vilnius, Lithuania, USSR.

出版信息

J Perinat Med. 1990;18(4):255-60. doi: 10.1515/jpme.1990.18.4.255.

DOI:10.1515/jpme.1990.18.4.255
PMID:2262869
Abstract

The resistance index (RI) of uteroplacental blood flow velocity waveforms (VWF) was investigated by continuous Doppler ultrasound in 286 nonselected pregnant women with singleton pregnancies at 18-21 weeks (n = 129) and at 31-33 weeks (n = 157) of gestation to evaluate the validity of this method as a screening procedure for abnormal pregnancy outcome (intrauterine growth retardation, pregnancy-induced hypertension and fetal asphyxia). The sensitivity of predicting pregnancy outcome was 26.6% at 18-21 weeks and 17.6% at 31-33 weeks of gestation. It was concluded that this method is too insensitive as a screening tool for the prediction of intrauterine growth retardation and pregnancy-induced hypertension in a low-risk nonselected pregnant population.

摘要

采用连续多普勒超声研究了286例单胎妊娠的未选择孕妇在妊娠18 - 21周(n = 129)和31 - 33周(n = 157)时子宫胎盘血流速度波形(VWF)的阻力指数(RI),以评估该方法作为异常妊娠结局(宫内生长受限、妊娠高血压和胎儿窒息)筛查程序的有效性。预测妊娠结局的敏感性在妊娠18 - 21周时为26.6%,在妊娠31 - 33周时为17.6%。得出的结论是,在低风险未选择的孕妇群体中,该方法作为预测宫内生长受限和妊娠高血压的筛查工具过于不敏感。

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