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[孕期多普勒超声检查——德国妇产超声学会质量标准与临床应用]

[Doppler Sonography during Pregnancy - DEGUM Quality Standards and Clinical Applications].

作者信息

Faber R, Heling Kai-Sven, Steiner Horst, Gembruch Ulrich

机构信息

Center of Prenatal Medicine, Leipzig, Germany.

Praxis, prenetal diagnosis and human genetics, Berlin, Germany.

出版信息

Ultraschall Med. 2019 Jun;40(3):319-325. doi: 10.1055/a-0800-8596. Epub 2019 Mar 20.

DOI:10.1055/a-0800-8596
PMID:30895584
Abstract

Doppler sonography is widely established in prenatal medicine and obstetrics and is commonly used in screening for aneuploidy and preeclampsia during the first trimester. More importantly, during the 2nd and 3 rd trimester, it is used in the assessment of fetal health as well as the surveillance of underlying fetal conditions such as IUGR and anemia. Correct use of the method is vital for correct data interpretation and the inferred clinical decision process. Therefore, we aim to provide all users of doppler sonography with a guide for meeting the required quality standards. These quality standards will further be the basis of DEGUM-certified training courses. In the first part, we will introduce the technical principles of the method and potential error sources, vascular disciplines to which the method can be applied, analysis of the spectral curves, patient safety and the needed requirements for successful certification.

摘要

多普勒超声检查在产前医学和产科中已广泛应用,常用于孕早期非整倍体和先兆子痫的筛查。更重要的是,在孕中期和孕晚期,它用于评估胎儿健康状况以及监测潜在的胎儿疾病,如胎儿生长受限和贫血。正确使用该方法对于正确解读数据和推断临床决策过程至关重要。因此,我们旨在为所有多普勒超声检查用户提供一份满足所需质量标准的指南。这些质量标准将进一步成为德国超声医学和妇产科学会(DEGUM)认证培训课程的基础。在第一部分,我们将介绍该方法的技术原理、潜在误差来源、可应用该方法的血管学科、频谱曲线分析、患者安全以及成功认证所需的要求。

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