摘要
目的探讨不同孕周胎儿肝脏长度(FLL)、胎儿肝脏面积(FLA)与胎儿出生体质量的相关性。方法选取2017年5-12月该院收治的37～42周单胎孕妇90例作为研究对象,根据孕妇孕周分为孕28周前及孕28周后。所有孕妇产前均进行常规超声检查,测量FLA及FLL。精确测量胎儿出生体质量,采用Pearson相关性分析对FLL、FLA与胎儿出生体质量的相关性进行分析。结果健康孕妇孕28周后FLL、FLA均大于孕28周前,差异有统计学意义(P<0.05)。FLL>56.7mm者胎儿出生体质量大于FLL>55.1～56.7、>53.7～55.1及50.6～53.7mm者,FLL>55.1～56.7mm者胎儿者出生体质量大于FLL>53.7～55.1mm及50.6～53.7mm者,FLL>53.7～55.1mm者胎儿出生体质量大于FLL为50.6～53.7mm者,差异均有统计学意义(P<0.05)。FLA>44.2cm^2者胎儿出生体质量大于FLA>41.6～44.2、35.9～41.6及<35.9cm^2者,FLA>41.6～44.2cm^2者胎儿出生体质量大于35.9～41.6及<35.9cm^2者,FLA为35.9～41.6cm^2者胎儿出生体质量大于FLA<35.9cm^2者,差异均有统计学意义(P<0.05)。胎儿出生体质量与FLL、FLA呈正相关(P<0.05)。结论不同孕周孕妇其胎儿FLL、FLA存在明显差异,且与胎儿出生体质量有一定相关性。但该预测方法对医生专业技能要求较高,应进一步提高操作技能及熟练程度,以提高预测准确性。
Objective To investigate the relationship between liver length and area and fetal birth weight in different gestational weeks.Methods A total of 90 single-fetal pregnant women with gestational age of 37-42 weeks from May 2017 to December 2017 were enrolled.According to the gestational weeks of pregnancy,they were divided into 28 weeks before pregnancy and 28 weeks after pregnancy.All pregnant women underwent routine ultrasound before delivery.Fetal liver area(FLA)and fetal liver length(FLL)were checked and measured.The fetal birth weight was accurately measured after delivery of the fetus.Pearson correlation analysis was used to analyze the correlation between FLL,FLA and fetal birth weight.Results The FLL and FLA in healthy pregnant women were greater than those in pregnant women 28 weeks before pregnancy,and the differences were statistically significant(P<0.05).The birth weight of the babies with FLL >56.7 mm was greater than that of the babies with FLL 55.1-56.7 mm,53.7-55.1 mm and 50.6-53.7 mm,the birth weight of the babies with FLL >55.1-56.7 mm was greater than that of the babies with FLL >53.7-55.1 mm and 50.6-53.7 mm,and the birth weight of the babies with FLL>53.7-55.1 mm was greater than that of the babies with FLL 50.6-53.7 mm,and the differences were statistically significant(P<0.05).The birth weight of the babies with FLA >44.2 cm^2 was greater than that of the babies with FLA >41.6-44.2 cm^2,35.9-41.6 cm^2 and<35.9 cm^2,the birth weight of the babies with FLA >41.6-44.2 cm^2 was greater than that of the babies with FLA 35.9-41.6 cm^2 and<35.9 cm^2,the birth weight of the babies with FLA 35.9-41.6 cm^2 was greater than that of the babies with FLA <35.9 cm^2,and the differences were statistically significant(P<0.05).SPSS Pearson correlation analysis showed that fetal weight was positively correlated with FLL and FLA(P<0.05).Conclusion There are significant differences in FLL and FLA between different gestational weeks,and it has a certain correlation with fetal birth weight.However,the prediction met
作者
靳晓丹
JIN Xiaodan(Department of Ultrasound,Hunan Maternal and Child Health Hospital,Changsha,Hunan410008,China)
出处
《检验医学与临床》
CAS
2019年第7期898-901,共4页
Laboratory Medicine and Clinic
