超声检查妊娠糖尿病孕妇胎儿前腹壁厚度的临床效果  

Clinical effect of ultrasonography on fetal anterior abdominal wall thickness in pregnant women with gestational diabetes mellitus

作　　者：郑斌[1] ZHENG Bin(Department of Ultrasound,Zaozhuang Maternal and Child Health Hospital in Shandong Province,Zaozhuang 277000,China)

机构地区：[1]山东省枣庄市妇幼保健院超声科,山东枣庄277000

出　　处：《中国现代医生》2022年第12期123-126,130,共5页China Modern Doctor

摘　　要：目的分析在妊娠糖尿病孕妇产前检查中应用超声检查胎儿前腹壁厚度的临床效果。方法选取2019年1月至2020年12月山东省枣庄市妇幼保健院收治的40例妊娠糖尿病患者作为研究对象,设为试验组,另选取40名同期行产检的健康孕妇设为对照组,所有孕妇均需要接受超声检查,比较两组孕妇宫内胎儿的腹围、股骨长度、双顶径、前腹壁厚度与彩色多普勒超声检查结果。结果两组孕妇宫内胎儿的腹围、股骨长度、双顶径比较,差异无统计学意义(P>0.05);试验组胎儿前腹壁厚度为(3.95±0.67)mm,明显高于对照组的(3.11±0.29)mm,差异有统计学意义(P<0.05);在40例妊娠糖尿病产妇中,有2例胎儿经超声诊断为前腹壁畸形,与产后结果相比,符合率为100%(2/2);其中脐膨出1例,腹裂1例。结论对妊娠糖尿病孕妇进行超声检查能准确判断胎儿前腹壁厚度情况,可据此评估胎儿生长情况,并将其作为妊娠糖尿病的评估指标之一,另外还可作为胎儿前腹壁畸形的早期诊断手段,具有一定的临床价值,值得推广。Objective To analyze the clinical effect of ultrasonography on fetal anterior abdominal wall thickness in pregnant women with gestational diabetes mellitus.Methods A total of 40 gestational diabetes mellitus patients who were admitted to Zaozhuang Maternal and Child Health Hospital in Shandong Province from January 2019 to December 2020 were selected as the research objects and set as the experimental group,and 40 healthy pregnant women for delivery check-up during the same period were selected as the control group.All pregent women need to accept the ultrasound examination.The abdominal circumference,length of femur,double parietal diameter,thickness of the anterior abdominal wall and the results of color Doppler ultrasound examination of pregnant women′s fetuses between the two groups were compared.Results No statistically significant differences were observed in the abdominal circumference,length of femur and double parietal diameter between the two groups(P>0.05).After the ultrasonic examination,the thickness of the anterior abdominal wall in the experimental group was(3.95±0.67)mm,which was significantly higher than that of(3.11±0.29)mm in the control group,with statistically significant difference(P<0.05).Among the 40 women with gestational diabetes mellitus,2 patients′fetuses were diagnosed as anterior abdominal wall malformation by ultrasound,and the coincidence rate was 100%(2/2)compared with postpartum results.One patient was omphalocele and another was abdominal fissure.Conclusion The ultrasound examination of pregnant women with gestational diabetes mellitus can accurately determine the thickness of the fetal anterior abdominal wall,which can be used to evaluate the growth of the fetus,and can be used as one of the evaluation indicators of gestational diabetes mellitus.In addition,it can also be used as an early diagnosis method of fetal anterior abdominal wall malformation,which has certain clinical value and is worth promoting.

关 键 词：超声 妊娠糖尿病 前腹壁厚度 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]