胎儿生长受限监测的研究进展  

Research progress of fetal growth restriction monitoring

作　　者：母仕银 张珂(综述)[1] 邱丽倩(审校)[1] MU Shiyin;ZHANG Ke;QIU Liqian(Department of Women's Health,Women's Hospital,Affiliated with School of Medicine,Zhejiang University,Hangzhou,Zhejiang 310006,China)

机构地区：[1]浙江大学医学院附属妇产科医院妇女保健部,浙江杭州310006

出　　处：《预防医学》2021年第4期369-372,376,共5页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：胎儿生长受限(FGR)指各种病理因素导致胎儿在宫内生长发育受到限制。母体、胎儿、胎盘及脐带因素均可能导致FGR。目前尚无诊断FGR的金标准,因此,加强FGR监测具有重要意义。FGR围产期宫内监测方法包括孕妇宫高测量、B超检查、多普勒血流监测、血清学检测和遗传学手段等。然而,单一指标对预测及诊断FGR价值有限,且大多数检测技术主要针对早发型FGR,对迟发型FGR检测的灵敏度和特异度均较低。未来研究需致力于早期、精准识别FGR,尽早干预,减少不良妊娠结局的发生。Fetal growth restriction(FGR)refers to the restriction of fetal growth and development in uterus due to various pathological factors,which can not achieve its genetic growth potential.Maternal,fetal,placental and umbilical factors may lead to FGR.At present,there is no golden standard for diagnostis of FGR;thus it is of great significance to strengthen the perinatal monitoring of FGR.The perinatal monitoring methods of FGR include measurement of symphysio-fundal height(SFH),B-ultrasonography,Doppler ultrasonography,serological detection and genetic means.However,single index in the prediction and diagnosis of FGR is limited.Most of the detection methods are for early-onset FGR,while their sensitivity and specificity for late-onset FGR are low.Future studies need to focus on early and accurate identification of FGR for early intervention,in order to reduce the incidence of adverse pregnancy outcomes.

关 键 词：胎儿生长受限 宫内监测 超声 脐血流 

分 类 号：R714.51[医药卫生—妇产科学]