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[关于子宫胎盘灌注序贯闪烁扫描检查的临床意义(作者译)]

[On the clinical significance of sequential scintigraphic examinations of the uteroplacental perfusion (author's transl)].

作者信息

Mund-Hoym S, Hünermann B, Stolp W, Lang N

出版信息

Geburtshilfe Frauenheilkd. 1978 Apr;38(4):292-8.

PMID:648854
Abstract

The utero-placental perfusion was examined by means of the method of Hünermann (1972) in a group of 74 patients with toxemia of pregnancy, diabetes mellitus, or intrauterine growth retardation. The perfusion measurements were categorized and evaluated according to the clinical findings. The correlation between single values deriving from the time-activity curves and their clinical predictive value was ascertained. A strong correlation between the parameters and the clinical findings resulted when several criteria were considered simultaneously. Among the single values resulting from the perfusion curves, the Tmax (placenta) and Tmax (uterus) (time of activity maximum) as well as the quotient of both revealed the highest significance. Pathological time-activity-curves were found in 16 of 19 patients with moderate and severe intrauterine growth retardation, and in all patients with moderate and severe toxemia, or diabetes mellitus. The limited clinical value of the used method is discussed.

摘要

采用许内曼(1972年)的方法,对74例患有妊娠中毒症、糖尿病或宫内生长迟缓的患者进行了子宫 - 胎盘灌注检查。根据临床检查结果对灌注测量值进行分类和评估。确定了时间 - 活性曲线得出的单个值与其临床预测价值之间的相关性。当同时考虑多个标准时,参数与临床检查结果之间存在很强的相关性。在灌注曲线得出的单个值中,Tmax(胎盘)和Tmax(子宫)(活性最大值时间)以及两者的商具有最高的显著性。在19例中度和重度宫内生长迟缓患者中的16例,以及所有中度和重度妊娠中毒症或糖尿病患者中,发现了病理性时间 - 活性曲线。文中讨论了所用方法有限的临床价值。

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