Platt L D, Manning F A, Murata Y, Keegan K A, Druzin M L, Socol M L
Obstet Gynecol. 1980 Feb;55(2):191-3.
The efficacy of real-time ultrasound for the diagnosis of fetal death or hydatidiform mole was evaluated during a 1-year period. During this time, 116 patients were referred to the obstetric ultrasound service for the confirmation of clinical diagnoses. In 24 of 46 patients (52%) presenting in the first half of pregnancy, the referring diagnosis was confirmed. In 1 case of an early intrauterine pregnancy with a degenerating myoma, the ultrasound diagnosis of molar pregnancy was in error. In 48 of 70 patients (69%) referred after 20 weeks' gestation, the clinical diagnosis was confirmed. In no instance was either a false-positive or false-negative diagnosis made with real-time ultrasound in the last half of pregnancy. This method should prove to be the method of choice in diagnosing intrauterine fetal death.
在1年的时间里，对实时超声诊断胎儿死亡或葡萄胎的效能进行了评估。在此期间，116例患者被转诊至产科超声科室以确认临床诊断。在妊娠前半期就诊的46例患者中，有24例（52%）转诊诊断得到确认。在1例合并肌瘤退变的早期宫内妊娠患者中，超声诊断为葡萄胎是错误的。在妊娠20周后转诊的70例患者中，有48例（69%）临床诊断得到确认。在妊娠后半期，实时超声未出现假阳性或假阴性诊断的情况。这种方法应被证明是诊断宫内胎儿死亡的首选方法。
