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多普勒超声检测妊高征患者母体循环血流动力学对围产儿结局的诊断价值

朱 丹1,刘玉萍1,蔡知天1,冯 莉2   

  1. 1. 吉林大学中日联谊医院妇产科,吉林 长春130031;2. 解放军第二炮兵总医院妇产科,北京100088
  • 收稿日期:2004-02-16 修回日期:1900-01-01 出版日期:2005-05-28 发布日期:2005-05-28

Diagnostic value of maternal blood flow Doppler velocimetry on prediction of perinatal outcome in patients withpregnancy-induced hypertension syndrome

ZHU Dan1,LIU Yu-ping1,CAI Zhi-tian1,FENG Li2   

  1. 1. Department of Obstetrics and Gynecology, China-Japan Union Hospital,Jilin University,Changchun 130031,China;2. Department of Obstetrics and Gynecology,General Hospital of Second Artillery of PLA,Beijing 100088,China
  • Received:2004-02-16 Revised:1900-01-01 Online:2005-05-28 Published:2005-05-28

摘要: 目的:探讨妊高征患者母体循环中脐动脉(UmA)、双侧子宫动脉(UtA)及髂内动脉(IlA)的收缩期/舒张期比值(S/D)和血流量(△Q)在预测围产儿结局方面的诊断价值。 方法:采用多普勒超声检测48例妊高征患者UmA、UtA及IlA的S/D和△Q,并与62例正常单胎妊娠孕妇对比。 结果:UmA S/D的敏感度(82.1%)、阳性似然比(4.49)及约登指数(0.638)均高于UtA S/D;UmA △Q的敏感度(85.7%)、特异度(82.9%)、阳性似然比(5.01)及约登指数(0.686)均高于UtA △Q,且UmA △Q和UtA △Q各项指标分别高于UmA S/D和UtA S/D;IlA S/D及IlA △Q各指标均较低。 结论:△Q对妊高征患者围产儿结局的诊断价值优于S/D;IlA S/D和△Q的诊断价值较UmA和UtA低。

关键词: 心血管, 超声检查, 超声检查, 多普勒, 方法, 围产儿结局

Abstract: Objective To study the diagnostic values of S/D and △Q of umbilical artery (UmA), bilateral uterine arteries (UtA), and internal iliac artery (IlA) in maternal circulation on prediction of perinatal outcome in patients with pregnancy-induced hypertension (PIH). Methods Dopple ultrasound screening was used to detect the S/D and △Q of UmA, UtA and IlA in 48 patients with PIH and 62 cases of normal singleton pregnancy. Results The sensitivity (82.1%), likehood ratio (4.49), and Youden′s index (0.638) of UmA S/D were higher than those of UtA S/D;the sensitivtity (85.7%), specificity (82.9%), likehood ratio (5.01), and Youden′s index (0.686) of UmA △Q were all higher than those of UtA △Q; and the various indexes of UmA △Q and UtA △Q were higher than those of UmA S/D and UtA S/D; each index of IlA S/D and IlA △Q was lower. Conclusion The diagnostic value of △Q for perinatal outcome in patients with PIH is superior to S/D; the diagnostic values of IlA S/D and IlA △Q are lower than those of UmA and UtA.

Key words: cardiovascular, ultrasonography, ultrasonography, Doppler, methods, perinatal outcome

中图分类号: 

  • R445.1