Smoleniec J, James D
Department of Obstetrics and Gynaecology, St Michael's Hospital, Bristol, UK.
Fetal Diagn Ther. 1995 Mar-Apr;10(2):95-100. doi: 10.1159/000264213.
Twenty-eight cases of fetal hydrops are reported. A diverse aetiology was found. Fetal therapy was undertaken in 12 (42.9%). The overall survival rate was 36.8% (excluding elective terminations). However, when normal fetuses presenting from 20 weeks were considered, the survival rate was 64%. The results were combined with those of two other studies (making a total of 182 cases with fetal hydrops) to ascertain the value of pleural effusions in predicting outcome in such cases. In the 143 cases that did not end in a therapeutic termination of pregnancy, fetal pleural effusions predicted death (fetal or neonatal) with a sensitivity of 67%, a specificity of 53%, a positive predictive power of 68%, a negative predictive power of 52% and an overall accuracy of 62%.
报告了28例胎儿水肿病例。发现病因多样。12例（42.9%）接受了胎儿治疗。总体存活率为36.8%（不包括选择性引产）。然而，当考虑20周起出现的正常胎儿时，存活率为64%。将这些结果与另外两项研究的结果（共182例胎儿水肿病例）相结合，以确定胸腔积液在预测此类病例预后中的价值。在143例未以治疗性终止妊娠告终的病例中，胎儿胸腔积液预测死亡（胎儿或新生儿）的敏感性为67%，特异性为53%，阳性预测值为68%，阴性预测值为52%，总体准确率为62%。
