Meyberg G C, Sohn C, Grünbaum S
Sektion für pränatale und gynäkologische Ultraschalldiagnostik und Therapie, Universitätsfrauenklinik Heidelberg.
Geburtshilfe Frauenheilkd. 1996 Aug;56(8):401-6. doi: 10.1055/s-2007-1023253.
Doppler sonography now has many indications in obstetrical diagnosis. Its wide and often uncritical application was the reason for our study group to confirm its importance. Moreover, we wanted to prove our own procedure. We made 950 Doppler examinations in a group of 449 pregnant women and correlated the results to the fetal outcome. Children with pathological Doppler findings showed a significantly lower birth weight of 599 g, a significantly lower duration of pregnancy of 6 days, a significantly higher rate of Caesarean sections and a significantly higher death rate compared to children with normal Doppler findings. Concerning Apgar- and pH-values there was not any significant difference between the two collectives. These results show that fetuses with pathological Doppler values or growth retardation can have the same prognosis as fetuses with normal Doppler findings if they are recognized and monitored at an early stage. The morbidity by acidosis can thus be reduced.
如今，多普勒超声检查在产科诊断中有诸多应用指征。其广泛且往往不加区分的应用促使我们的研究团队去证实其重要性。此外，我们还想验证自己的操作方法。我们对449名孕妇进行了950次多普勒检查，并将检查结果与胎儿结局相关联。与多普勒检查结果正常的胎儿相比，多普勒检查结果异常的胎儿出生体重显著低599克，孕期显著短6天，剖宫产率显著更高，死亡率也显著更高。在阿氏评分和酸碱度值方面，两组之间没有显著差异。这些结果表明，多普勒值异常或生长受限的胎儿如果能在早期得到识别和监测，其预后可能与多普勒检查结果正常的胎儿相同。由此可以降低酸中毒的发病率。
