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彩色多谱勒超声检测脐动脉：临床应用。

Doppler Ultrasound of the Umbilical Artery: Clinical Application.

机构信息

Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal.

Departamento da Mulher e da Medicina Reprodutiva, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto EPE, Porto, Portugal.

出版信息

Rev Bras Ginecol Obstet. 2022 May;44(5):519-531. doi: 10.1055/s-0042-1743097. Epub 2022 Apr 11.

DOI:10.1055/s-0042-1743097
PMID:35405757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9948152/
Abstract

OBJECTIVE

To provide a survey of relevant literature on umbilical artery Doppler ultrasound use in clinical practice, technical considerations and limitations, and future perspectives.

METHODS

Literature searches were conducted in PubMed and Medline, restricted to articles written in English. Additionally, the references of all analyzed studies were searched to obtain necessary information.

RESULTS

The use of this technique as a routine surveillance method is only recommended for high-risk pregnancies with impaired placentation. Meta-analyses of randomized trials have established that obstetric management guided by umbilical artery Doppler findings can improve perinatal mortality and morbidity. The values of the indices of Umbilical artery Doppler decrease with advancing gestational age; however, a lack of consensus on reference ranges prevails.

CONCLUSION

Important clinical decisions are based on the information obtained with umbilical artery Doppler ultrasound. Future efforts in research are imperative to overcome the current limitations of the technique.

摘要

目的

提供关于临床实践中使用脐动脉多普勒超声的相关文献综述，包括技术考虑因素和局限性以及未来展望。

方法

在 PubMed 和 Medline 中进行文献检索，仅限于英文文献。此外，还对所有分析研究的参考文献进行了检索，以获取必要的信息。

结果

仅建议将该技术作为胎盘功能不全的高危妊娠的常规监测方法。随机试验的荟萃分析已经证实，根据脐动脉多普勒发现进行产科管理可以改善围产期死亡率和发病率。随着胎龄的增加，脐动脉多普勒指数的值会降低；然而，目前仍然缺乏参考范围的共识。

结论

重要的临床决策是基于脐动脉多普勒超声获得的信息。未来必须努力研究，以克服该技术的当前局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/8ada323249cf/10-1055-s-0042-1743097-i210247-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/c45988f4cc8b/10-1055-s-0042-1743097-i210247-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/d5bb04d29088/10-1055-s-0042-1743097-i210247-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/4ae8994c9e07/10-1055-s-0042-1743097-i210247-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/ec11cf49b6ec/10-1055-s-0042-1743097-i210247-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/8ada323249cf/10-1055-s-0042-1743097-i210247-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/c45988f4cc8b/10-1055-s-0042-1743097-i210247-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/d5bb04d29088/10-1055-s-0042-1743097-i210247-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/4ae8994c9e07/10-1055-s-0042-1743097-i210247-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/ec11cf49b6ec/10-1055-s-0042-1743097-i210247-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/340f/9948152/8ada323249cf/10-1055-s-0042-1743097-i210247-5.jpg

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FIGO (international Federation of Gynecology and obstetrics) initiative on fetal growth: best practice advice for screening, diagnosis, and management of fetal growth restriction.国际妇产科联盟（FIGO）胎儿生长倡议：胎儿生长受限筛查、诊断及管理的最佳实践建议
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Perinatal outcome of growth restricted fetuses with abnormal umbilical artery Doppler waveforms compared to growth restricted fetuses with normal umbilical artery Doppler waveforms at a tertiary referral hospital in urban Ethiopia.
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