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[通过超声胎儿测量法预测胎儿体重。对各种公式准确性的研究及误差来源分析(作者译)]

[Prognostication of foetal weight by means of ultrasonic foetometry. Study into accuracy of various formulae and analysis of error sources (author's transl)].

作者信息

Miller E C

出版信息

Zentralbl Gynakol. 1981;103(18):1089-106.

PMID:7315009
Abstract

The author conducted a large-scale study into all accessible formulae for foetal weight assessment on the basis of ultrasonic measurement. Included were the author's own recently devised formulae. They were all studied for their accuracy, with reference being made to 100 unselected data groupings.--Another analysis was made for the purpose of finding out the extent to which the number of data used by different examiners could change differences between estimated results derived from formulae. Reference in great detail is made also to the effects of measurement errors and selection of data upon formula results.--Proper choice of measurement level was found to be important. Abdominal parameters proved to be superior to thoracic parameters. Estimated results, generally, improved along with the number of foetal measuring points, provided they were really relevant and weightful.--Discussed is the relative value which should be ascribed to all factors with impact on the accuracy of weight prognosis. Proper choice of an adequate mathematical model or adjustment of such choice to foetal data is considered to be essential, because it has to be made by optimum consideration of all factors.--All the above formulae were verified, but accuracies claimed earlier by original authors were reproducible only in some rare cases. The demand, therefore, is made that whenever new formulae are introduced the best of all available techniques of assessment should be used to compare their results, with reference to be made to the same, unselected patients. This is considered to be the best way for an objective assessment of their advantages.--An account is given of those practicable formulae which can be recommended, as a result of the comparison, and for which easy-to-use nomograms are available.

摘要

作者基于超声测量对所有可获取的胎儿体重评估公式进行了大规模研究。其中包括作者自己最近设计的公式。所有公式都参照100个未经过筛选的数据分组对其准确性进行了研究。——为了弄清楚不同检查者所使用的数据数量在多大程度上会改变公式得出的估计结果之间的差异,还进行了另一项分析。还详细提及了测量误差和数据选择对公式结果的影响。——发现正确选择测量水平很重要。腹部参数被证明优于胸部参数。一般来说,只要胎儿测量点真正相关且有意义,估计结果会随着测量点数量的增加而改善。——讨论了应赋予所有影响体重预后准确性的因素的相对价值。认为正确选择合适的数学模型或将这种选择与胎儿数据相匹配至关重要,因为这必须在对所有因素进行最佳考虑的基础上做出。——所有上述公式都经过了验证,但原作者之前声称的准确性仅在一些罕见情况下能够重现。因此,要求每当引入新公式时,都应使用所有可用的最佳评估技术来比较其结果,并参照相同的、未经过筛选的患者。这被认为是客观评估其优势的最佳方法。——介绍了经过比较后可以推荐的实用公式,并且有易于使用的列线图可供使用。

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