脐动脉血流检测在胎儿生长受限预后中的应用  

Clinical application of detection on fetal umbilical artery blood to predict fetal grow restriction

作　　者：王彦 王涛 陈红 

机构地区：[1]成都市妇女儿童中心医院产科病区,四川成都610015

出　　处：《中国计划生育和妇产科》2013年第4期43-45,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨彩色多普勒超声检测胎儿脐动脉血流对预测胎儿生长受限(fetal growth restriction,FGR)预后的临床意义。方法将成都市妇女儿童中心医院产科2010年7月至2012年5月收治入院的124例FGR患者作为观察组,同期住院的200例正常妊娠孕妇为对照组,采用彩色超声多普勒检查。结果观察组产妇胎儿脐动脉收缩期最大血流速度/舒张末期血流速度(systolic blood flow peak velocity/diastolic blood flow velocity,S/D)为(2.87±0.58),对照组为(2.39±0.61)。彩色多普勒脐血流检查,FGR组脐血流S/D值较正常妊娠组有较明显升高,且随S/D值升高,发生围生儿预后不良结局的概率也明显增加。说明彩色多普勒胎儿脐动脉血流检测对评价胎儿疾病严重程度及预后具有重要意义。结论彩色多普勒胎儿脐动脉血流检测应作为孕期胎儿的常规监测措施,对胎儿生长受限的及早发现、及早治疗,确定分娩时机具有重要意义。Objective To study using color Doppler ultrasound examination of fetal umbilical artery blood flow to predict fetal growth restriction （FGR）. Methods Totally 124 cases of pregnant women as FGR group were checked cord blood flow by Color Doppler Ultrasound and 200 normal pregnant women at the same time in hospital were as the control group. Results The value of systolic blood flow peak velocity/diastolic blood flow velocity （S/D） with （2. 87 ±0. 58） in FGR group was much higher than that in control group with （2. 39 ±0. 61 ）. That color Doppler measurement of uterine artery and fetal umbilical artery examination had great significance to assess the severity and prognosis of fetal disease. Conclusion Color Doppler measurement of uterine artery and fetal umbilical artery checks can be used as routine monitoring of fetal growth restriction measures because it has important value for finding and treating FGR as soon as possible to determine delivery time.

关 键 词：超声多普勒 胎儿生长受限 胎儿脐动脉血流 

分 类 号：R714[医药卫生—妇产科学]