彩色多普勒超声在脐带缠绕胎儿血流及宫内窘迫预测价值  

Predictive value of color Doppler ultrasound for blood flow and intrauterine distress of fetus with umbilical cord entanglement

作　　者：王梅娟[1] 王坤昌[1] 周秀荣[1] 洪琼[1] 蒋雨辰 Wang Meijuan;Wang Kunchang;Zhou Xiurong;Hong Qiong;Jiang Yuchen(Department of Obstetrics,Hefei First People’s Hospital,Hefei 230061,Anhui,China)

机构地区：[1]合肥市第一人民医院产科,安徽合肥230061

出　　处：《现代科学仪器》2022年第3期60-64,共5页Modern Scientific Instruments

摘　　要：目的:探讨彩色多普勒超声监测在预测脐带缠绕胎儿血流及预测胎儿宫内窘迫中的应用价值。方法:回顾性分析169例产妇一般临床资料,将存在脐带缠绕者纳入观察组(n=80),将无脐带缠绕者纳入对照组(n=89),探讨彩色多普勒超声在预测脐带绕颈及宫内窘迫中的效能。结果:UA、MCA中S/D、PI、RI均对脐带缠绕具有一定诊断价值;彩色多普勒超声在胎儿宫内窘迫中诊断敏感度、特异性、准确性分别为89.19%、95.35%、92.50%。结论:胎儿UA、MCA中动脉血流频谱检测在脐带缠绕及胎儿宫内窘迫中均具有一定诊断价值,可为临床早期监测及干预提供有效依据,值得推广。Objective:To investigate the predictive value of color Doppler ultrasound for blood flow and intrauterine distress of fetus with umbilical cord entanglement.Methods:This study retrospectively analyzed the general clinical data of 169 pregnant women.The pregnant women enrolled were divided into observation group(80 pregnant women with fetal umbilical cord entanglement)and control group(89 pregnant women without fetal umbilical cord entanglement).The predictive efficiency of color Doppler ultrasound for fetal umbilical cord entanglement and intrauterine distress was discussed.Results:UA and MCA S/D,PI and RI all could be used to diagnose umbilical cord entanglement.With clinical diagnosis results as the golden standard,the sensitivity,specificity,and accuracy of color Doppler ultrasound to diagnose fetal intrauterine distress were 89.19%,95.35%,and 92.50%.Conclusion:Fetal UA and MCA blood flow spectrum can be used to diagnose fetal umbilical cord entanglement and fetal intrauterine distress,which provides an effective basis for early clinical monitoring and intervention.

关 键 词：彩色多普勒超声监测 预测 脐带缠绕胎儿血流 宫内窘迫 

分 类 号：R71[医药卫生—妇产科学]