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孕期测量胎儿腹部及肩胛下皮下组织厚度以预测巨大儿:一项初步研究。

Measurement of fetal abdominal and subscapular subcutaneous tissue thickness during pregnancy to predict macrosomia: a pilot study.

作者信息

Chen Ling, Wu Jing-Jing, Chen Xiao-Hui, Cao Li, Wu Yun, Zhu Li-Jun, Lv Kang-Tai, Ji Chen-Bo, Guo Xi-Rong

机构信息

Nanjing Maternal and Child Health Hospital of Nanjing Medical University, Nanjing, China; Institute of Pediatrics, Nanjing Medical University, Nanjing, China.

Nanjing Maternal and Child Health Hospital of Nanjing Medical University, Nanjing, China.

出版信息

PLoS One. 2014 Mar 27;9(3):e93077. doi: 10.1371/journal.pone.0093077. eCollection 2014.

Abstract

This study assessed the growth trends and reference ranges of the ultrasound parameters, fetal abdominal subcutaneous tissue thickness (ASTT) and subscapular subcutaneous tissue thickness (SSTT), in the last two trimesters of normal pregnancy in a Chinese population. We recruited 744 healthy women with singleton pregnancies. The ASTT and SSTT were evaluated at different times between 21 and 36 weeks of gestation. The correlations between these parameters and fetal gestational weeks were assessed using linear regression analysis. Both ASTT and SSTT increased with gestation, and both parameters showed a strong correlation with gestation (ASTT vs. GA, R(2) = 0.792; P<0.0001; SSTT vs. GA, R(2) = 0.302; P<0.0001). Time-specific reference ranges, including 5th, 50th and 95th percentiles and means ± SD, were constructed for ASTT and SSTT. These results provide a preliminary reference range to evaluate whether fetal development and maternal metabolic health is normal or not in a Chinese population.

摘要

本研究评估了中国人群正常妊娠最后两个孕期中超声参数——胎儿腹部皮下组织厚度(ASTT)和肩胛下皮下组织厚度(SSTT)的生长趋势及参考范围。我们招募了744名单胎妊娠的健康女性。在妊娠21至36周的不同时间点对ASTT和SSTT进行评估。使用线性回归分析评估这些参数与胎儿孕周之间的相关性。ASTT和SSTT均随孕周增加,且两个参数均与孕周呈强相关(ASTT与GA,R(2) = 0.792;P<0.0001;SSTT与GA,R(2) = 0.302;P<0.0001)。为ASTT和SSTT构建了特定时间的参考范围,包括第5、第50和第95百分位数以及均值±标准差。这些结果提供了一个初步参考范围,用于评估中国人群中胎儿发育和母体代谢健康是否正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ea8/3968095/5f8e99813f8e/pone.0093077.g001.jpg

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