Kuroda K, Kobayashi M, Kato K
Nihon Sanka Fujinka Gakkai Zasshi. 1982 Jan;34(1):30-6.
By ultrasonic diagnostics, fetal abdominal longitudinal and lateral diameters were measured in 200 pregnant women from 37th to 41st weeks of pregnancy before the start of the birth for the study of the correlation coefficients between the diameters and the baby's weight on discharge. The following results were obtained. 1) Before the determination of the above coefficients, the great lateral diameter, the girths of the head, chest and abdomen and sitting height were measured in newborn infants in from six to 12 hours after birth. The correlation coefficient was 0.66 for the great lateral diameter, 0.71 for the head girth, 0.85 for the chest girth, 0.81 for the abdominal girth and 0.66 for the sitting height. The chest and abdominal coefficients were found to be low. 2) By ultrasonic diagnostics, measurements were taken of the fetal heads, chest, abdomen and head length. In consideration of dimensions and distinctness of ultrasonically delineated images, the chest and head length seemed unsuitable for measurement. On the contrary, the head lateral diameter and abdominal longitudinal and lateral diameters can be measured with relative ease. 3) The fetal head lateral diameter can be measured with ease and high accuracy, but its correlation coefficient becomes 0.62 which is low. Due to soft tissues, difficulty is encountered in measuring the fetal abdominal longitudinal and lateral diameters. However, if check points are properly set, they can be measured with relative ease. Their correlation coefficient to the weight on discharge is very high at 0.87. Clinically for the estimation of the weight on discharge, the method of measuring the fetal longitudinal and lateral diameters is presumably the better method at present, based on the above results.
通过超声诊断,在200名怀孕37至41周的孕妇临产前测量胎儿腹部的纵径和横径,以研究这些径线与出生时新生儿体重之间的相关系数。结果如下:1)在确定上述系数之前,对出生后6至12小时内的新生儿测量了大横径、头围、胸围、腹围和坐高。大横径的相关系数为0.66,头围为0.71,胸围为0.85,腹围为0.81,坐高为0.66。发现胸围和腹围的相关系数较低。2)通过超声诊断,对胎儿的头部、胸部、腹部和头长进行了测量。考虑到超声图像的尺寸和清晰度,胸部和头长似乎不适合测量。相反,胎儿头部横径以及腹部的纵径和横径相对容易测量。3)胎儿头部横径易于且高精度地测量,但其相关系数为0.62,较低。由于软组织的影响,测量胎儿腹部纵径和横径存在困难。然而,如果正确设置检查点,也可以相对容易地进行测量。它们与出生时体重的相关系数非常高,为0.87。基于上述结果,临床上用于估计出生时体重,目前测量胎儿纵径和横径的方法可能是更好的方法。