脑胎盘比率在高危妊娠围产期结局检测中的预测价值
Predictive Value of Cerebroplacental Ratio in Detection of Perinatal Outcome in High-Risk Pregnancies.
作者信息
Najam Rehana, Gupta Sarika
机构信息
Department of Obstetrics & Gynaecology, Teerthanker Mahaveer Medical College and Research Centre, TMU, Moradabad, India ; Flat No C-001 Faculty Quarter, TMU Campus, Moradabad, UP India.
Department of Obstetrics & Gynaecology, Teerthanker Mahaveer Medical College and Research Centre, TMU, Moradabad, India.
出版信息
J Obstet Gynaecol India. 2016 Aug;66(4):244-7. doi: 10.1007/s13224-015-0671-3. Epub 2015 Feb 17.
OBJECTIVE
To assess the predictive value of cerebroplacental ratio (i.e., S/D ratio of middle cerebral artery to S/D ratio of Umbilical artery) in detection of perinatal outcome in high-risk pregnancies.
MATERIAL AND METHOD
This retrospective study was conducted on 150 patients between 28 and 40 weeks of gestation (25 low risk and 125 high risk) who attended OPD and indoor wards of Teerthanker Mahaveer medical college and research center, Moradabad. All patients had serial color Doppler ultrasounds done after taking informed consent which was repeated at 2 weeks interval, and data were collected with regard to perinatal outcome.
RESULT AND CONCLUSION
Cerebroplacental ratio is having higher sensitivity and negative predictive value in detection of IUGR, Meconium aspiration syndrome, operative interference for fetal distress, and NICU admissions in comparison to its components. So, better prediction of neonatal outcome can be done by C/U ratio.
目的
评估脑胎盘比率（即大脑中动脉收缩期与舒张期血流速度比值与脐动脉收缩期与舒张期血流速度比值之比）在高危妊娠围产期结局检测中的预测价值。
材料与方法
本回顾性研究对150例妊娠28至40周的患者进行（25例低风险和125例高风险），这些患者来自莫拉达巴德蒂尔坦克·马哈维尔医学院及研究中心的门诊和病房。所有患者在签署知情同意书后接受了系列彩色多普勒超声检查，每2周重复一次，并收集围产期结局的数据。
结果与结论
与脑胎盘比率的各组成部分相比，脑胎盘比率在检测胎儿生长受限、胎粪吸入综合征、因胎儿窘迫进行的手术干预以及新生儿重症监护病房入院方面具有更高的敏感性和阴性预测价值。因此，通过C/U比值可以更好地预测新生儿结局。
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