摘要
目的本研究探討胎兒UA及MCA血流指標在診斷胎兒生長受限的價值。方法2020.01~2022.12期間本院產前超聲檢查及分娩,IUGR組胎兒26例,30例健康胎兒為對照組,孕婦年齡27~43歲,平均31±3.2歲,孕週32~39週,平均35.16±2.74週,測孕婦的UA-PI、UARI、MCA-PI、MCA-RI值,測胎兒出生後5分鐘Apgar score,計算各指標在診斷IUGR靈敏度及特異度。結果IUGR組,UA-PI異常16例,UA-RI異常12例,MCA-PI異常6例,MCA-RI異常5例。對照組UA-PI異常4例,UA-RI異常2例,MCA-PI異常2例,MCA-RI異常2例。胎兒出生5分鐘Apgar score,IUGR組UA-PI或UA-RI異常胎兒中分別0~3分1及0例,4~6分2及2例,7~10分23及24例,MCA-PI或RI異常胎兒中0~1分都為0例,4~6分1及0例,7~10分25及26例。對照組,胎兒UA-PI或UA-RI異常的產後5分鐘的Apgar score,0~3分都為0例,4~6分為1及0例,7~10分為29及30例,胎兒MCA-PI或MCA-RI異常的產後生兒5分鐘的Apgar score,0~3分都是0例,4~6分分別為1及0例,7~10分都是30例。UA-PI對早期診斷IUGR的靈敏度最高,但其特異度則是最低,UA-RI及MCA-PI及MCA-RI的特異度高達93.3%。結論胎兒UA和MCA監測在早期診斷IUGR有重要臨床價值,UA指標對IUGR敏感性高於MCA指標。
Objective The aim of this study was to examine the significance of umbilical artery(UA)and middle cerebral artery(MCA)blood flow indices in the diagnosis of fetal growth restriction.Methods We selected 26 fetuses with IUGR and 30 fetuses with healthy fetuses as the control group from January 2020 to December 2022 at our hospital.The age of the pregnant women ranged from 27-43 years,with an average of 31±3.2 years.The gestational age ranged from 32-39 weeks,with an average of 35.16±2.74 weeks.We measured UA-PIs.UA-RI,MCA-PI,and MCA-RI in both groups of pregnant women.We also recorded the Apgar score of the newborns at 5 minutes and calculated the sensitivity and specificity of each indicator for diagnosing intrauterine growth restriction(IUGR).Results In the IUGR group,there were 16 cases of abnormal UA-PIs,12 cases of abnormal UA-RIs,6 cases of abnormal MCA-PIs,and 5 cases of abnormal MCA-RIs.In the normal control group,there were four patients with abnormal UA-PIs,2 patients with abnormal UA-RIs,2 patients with abnormal MCA-PIs,and 2 patients with abnormal MCA-RIs.The Apgar scores at 5 minutes after birth were as follows:in the IUGR group,among the newborns with abnormal UA-PIs,one had a score of 0-3,two had a score of 4-6,and twenty-three had a score of 7-10;among the newborns with abnormal UA-RIs,two had a score of 4-6,and twenty-four had a score of 7-10;among the newborns with abnormal MCA-PIs,one had a score of 4-6,and twenty-five had a score of 7-10.All Newborns with abnormal MCA-RIs had a score of 7-10.In the normal control group,among the newborns with abnormal UA-PIs during the fetal period,the Apgar scores at 5 minutes after birth were as follows:one had a score of 4-6,and 29 had a score of 7-10.The Apgar scores of the other newborns in the normal control group were within the normal range.The UA-PI had the highest sensitivity for the early diagnosis of IUGR,but its specificity was the lowest among all the indicators.The specificity of the UA-RI,MCA-PI,and MCA-RI was as high as 93.3%.Conclusion Fetal
作者
賴海容
林寧
李峻
何健菁
LAI HaiRong;LIN Ning;LI Jun;HE Jiang Jing(Imaging center,Kiang Wu Hospital,Macao,China;Department of Gynaecology&Obstetrics,Kiang Wu Hospital,Macao,China)
出处
《镜湖医学》
2023年第2期79-82,F0003,共5页
MEDICAL JOURNAL OF KIANG WU
关键词
宮内生長受限
胎兒多普勒掃描
腦中腦動脈
臍動脈
Intrauterine growth restriction
Fetal Doppler scan
Middle cerebral artery
Umbilical artery
