超声估计胎儿体重多项公式的临床验证_佘富蔓.pdfVIP

第16 卷2 期 天 津 医 科 大 学 学 报 Vol． 16, No． 2 2010 年6 月 JOURNAL OF TIANJIN MEDICAL UNIVERSITY Jun． 2010 309 超声估计胎儿体重多项公式的临床验证 佘富蔓 （天津医科大学总医院妇产科，天津 300052） ： ［摘要］目的研究B 型超声预测胎儿体重的准确性的指标，探讨超声估计胎儿体重精确性较高的公式。方法：对 287 例孕妇在分娩前一周用超声测量双顶径、股骨长、头围、腹围，分别用7 个公式预测得出胎儿体重，并与新生儿实 际出生体重进行比较。结果：单项腹围预测胎儿体重与新生儿实际体重的符合率最高。结论：超声测量胎儿腹围可以 准确、方便地预测新生儿出生体重，多参数公式对胎儿体重的预测并不优于单项腹围预测。 ［关键词］胎儿；出生体重；超声检查；腹围 （ ） ［中图分类号］R714.5 ［文献标识码］A ［文章编号］1006－8147 2010 02-0309-03 Clinical validation of multi-formula to estimate the weight of fetal by ultrasonic measurement SHE Fu-man （Department of Obstetrics and Gynecology, General Hospital, Tianjin Medical University, Tianjin 300052, China ） ABSTRACT Objective: To investigate accuracy paramenter and derive a higher veracity formula in es - timating the weight of fetal by ultrasonic measurement. Methods: Fetal biparietal diameter (BPD), femur ， length(FL),head circumference(HC) abdominal circumfercene(AC)were measured by ultrasonography with seven equation for a circle within seven days of delivery and analyzed with neonatal birth weight in 287cases. Results: There was significant correlation between fetal abdominal circumference and neonatal birth weight. Conclusion: The ultrasonic measurement of abdominal circumference (AC)is a accurate, sim - ple and valuable parameter in estimation of fetal weight.Multi-parameter formula is not better than abdomi - nal circumference mono-parameter formula in estimating the fetal weight. KEY WORDS Fetus;