B超测量胎儿肝脏面积预测巨大儿的.pdfVIP

现代妇产科进展 2001 年 5 月第 10 卷第 3 期 　Prog Obstet Gynecol ,May. 2001 ,Vol. 10 ,No. 3 ·论著· B 超测量胎儿肝脏面积预测巨大儿的 临床价值 姚 　勤 ,邵冬红 ,刘佩秋 (青岛大学医学院附属医院妇产科 ,青岛 　266003) 【摘要】　目的:研究应用 B 型超声测量胎儿肝脏面积预测巨大儿的临床价值。方 法 :应用 B 型超声测量 360 例足月妊娠胎儿的双顶径、头围、腹围、股骨长度、股骨皮下组 织厚度、肝脏长度和肝脏面积 ,并分析各预测指标与新生儿出生体重的关系及用于预测巨 大儿的敏感性和特异性。结果 :各项预测指标中胎儿肝脏面积与新生儿体重的相关性最 ( ) 好 r = 0 . 806 ,对巨大儿诊断的敏感性为 8889 % ,特异性为 9542 % 。结论 :应用 B 型超 声测量胎儿肝脏面积预测巨大儿的准确性较高 ,具有临床应用价值。 【关键词】　出生体重 ;超声检查 ;肝脏 ; 巨大儿 ( ) 中图分类号:R71451 　文献标识码 :A 　文章编号 2001 Ultrasonic measurement of area of fetal liver in the estimation of macrosomia weight. Yao Qin , Shao Donghong , Liu Peiqiu . Department of Obstetrics and Gynecology , the Affiliated Hospital of Medical College of Qingdao University , Qingdao 266003 【Abstract 】Objective : To investigate ultrasonic measurement of fetal liver in the estimation of ( ) ( ) macrosomia weight. Methods : Fetal biparietal diameter BPD , head circumference HC , abdomi ( ) ( ) ( ) nal circumference AC , femur length FL , fetal thigh soft tissue thickness FTSTT , fetal liver length (FLL) and fetal liver area ( FLA) were measured by ultrasonography and analyzed with neo natal birth weight in 360 cases. Results : There was significant correlation between FLA and neo natal birth weight ( r = 0 . 806) , and it was better to estimate neonatal birth weight with FLA than with the other parameters. The sensitivity and specificity for detection of macrosomia were 88. 89 % and 95. 42 % , respectively. Conclusions : The ultrasonic measurement of FLA is a simple , accurate