Arias F, Retto H
Department of Obstetrics and Gynecology, St. John's Mercy Medical Center, St. Louis, Missouri.
Obstet Gynecol Clin North Am. 1988 Jun;15(2):265-81.
The development of Doppler ultrasound evaluation of the uteroplacental and fetoplacental circulations is one of the most important achievements of modern obstetrics. For the first time, the obstetrician has the ability to evaluate, in a noninvasive way, circulatory systems critical to fetal development and the outcome of pregnancy and to obtain information of great value for the management of complicated pregnancies. At this time, Doppler examination of the umbilical artery has become a fundamental part of the evaluation of pregnancies complicated by retarded fetal growth. Doppler examination of the umbilical and uterine arteries has become the most accurate test to establish a fetal prognosis in patients with hypertension in pregnancy. Other indications for the use of this methodology (twins, diabetes, Rh isoimmunization, etc.) are being studied, and the role of Doppler ultrasound probably will extend significantly beyond the now well-established indications for its use.
多普勒超声评估子宫胎盘和胎儿胎盘循环的发展是现代产科学最重要的成就之一。产科医生首次能够以非侵入性方式评估对胎儿发育和妊娠结局至关重要的循环系统，并获取对复杂妊娠管理具有重大价值的信息。此时，脐动脉的多普勒检查已成为评估合并胎儿生长受限妊娠的基本组成部分。脐动脉和子宫动脉的多普勒检查已成为确定妊娠高血压患者胎儿预后的最准确检查。正在研究该方法的其他应用指征（双胎、糖尿病、Rh血型不合等），多普勒超声的作用可能会大大扩展到目前已明确的应用指征之外。
