彩色超声检查在评估胎儿宫内状况的价值.DOCVIP

临床医学论文-彩色超声检查在评估胎儿宫内状况的价值 【关键词】? 彩色超声 　　【摘要】 目的? 探讨彩色超声检查在评估胎儿宫内生长状况方面的价值。 方法? 采用彩色超声对100例宫内的胎儿（分两组，每组50例）进行检查，尽可能在胎儿无胎动的安静情况下选定标准测定平面分别测定胎儿的大脑中动脉、肾动脉、胎盘床动脉、脐动脉血流搏动指数（PI）、阻力指数（RI）及脐动脉的S/D，其结果做详细记录并进行统计学分析。 结果? 50例正常妊娠组，胎儿出生时体重在2500g以上，新生儿发育正常。另50例胎儿出生时体重小于2500g，其中27例新生儿虽体重较正常儿偏小，但发育正常;另23例胎儿血流动力学指标异常，提示胎儿宫内窘迫，导致异常分娩，新生儿生存率低。 结论? 彩色超声检查应该用于常规的产科产前超声检查，对了解胎儿宫内发育生长情况、胎儿是否宫内窘迫，有着相当重要的作用，是产科检查监护中不可缺少的部分。???? 　　关键词? 彩色超声 胎儿宫内发育迟缓????? 　　Assessment of fetus status in uterus by color Doppler ultrasonography????? 　　Jin Ping???? 　　Department of Ultrasonography，The Peoples Hospital of Yangzhong，Yangzhong212200.??? 　　【Abstract】 Objective This article is to study the importance of colorfultrasonic exam when evaluating the state of fetus in uterus.Methods The investigator examined50fetuses in uterus，which were divided equally into2groups，with colorfultrasonic.The PI and RI of median artery，renal artery，placenta artery，navel artery and the S/D of navel artery were examined，on the chosen standard section plane，when the fetuses were quiet.The result of above ac-tions was recorded in details and was analyzed with statistic tools.Results The average weight of the50normal ges-tated babies is more than2500g，and the babies were well developed.The average weight of the other group of50fetus-es is less than2500g when they were born.Among them，27babies were well developed，but23were hypogenetic，with abnormal blood flow，point out intrauterine growth retardation.Conclusion Colorfultrasonic exam is ought to be used and be regarded as the necessary process of standard obstetrics examination.It is helpful to determine if the fetus is growing well in uterus and if intrauterine growth retardation.??? 　　Key words color fultrasonic intrauterine growth retardation?????? 　　胎儿宫内发育迟缓（IUGR）亦称胎盘功能不良综合征或胎儿营养不良综合征，系指胎儿出生时体重低于同龄胎儿平均体重的第10百分位或低于胎儿平均体重的2个标准差。胎儿宫内窘迫是胎儿在宫内缺氧缺血，导致胎儿心率过快或过慢、胎动频繁或减少等一系列的表现。产前准确预测胎儿宫内生长情况，对提高围产医学质量具有重要意义。本文旨在应用超声检测胎儿的双顶径、枕额径、胸腹径、股骨径，并配合彩色多普勒超声（CDFI）监测胎儿大脑中动脉、肾动脉、胎盘床动脉、脐