巨大儿产前超声快速预测方法探讨.docVIP

巨大儿产前超声快速预测方法探讨 　　摘 要 目的：应用腹围（AC）、股骨软组织厚度（FSTT）、双顶径（BPD）、股骨长（FL）等多项超声指标快速预测巨大儿，减少巨大儿对母婴的影响，以更好地服务于临床。方法：选取单胎孕妇581例，将超声仪器自带公式预测巨大儿结果作为对照组，综合采用AC、FSTT、BPD、FL等多项参数指标预测巨大儿结果作为实验组，比较两组方法的实际符合率。结果：实验组对581例新生儿体重预测符合率及对35例巨大儿体重预测符合率均明显高于对照组，差异具有统计学意义（P0.05）；单项指标预测符合率中，AC及FSTT符合率较高于BPD及FL，差异具有统计学意义（P0.05）。结论：综合采用AC、FSTT、BPD、FL等多项参数指标预测新生儿体重，其操作简单、快速、准确，可客观反映巨大儿的预测指标，减少巨大儿的并发症，值得推广应用。 　　关键词 巨大儿 超声 股骨软组织厚度 　　中图分类号：R714.51； R445.1 文献标识码：B 文章编号：1006-1533（2015）03-0049-03 　　ABSTRACT Objective： To rapid predict macrosomia by use of various ultrasound indexes such as AC， FSTT， BPD， FL so as to reduce the effect of macrosomia on mother and infant and to provide a better service for clinic. Methods： Five hundred and eighty-one pregnant women with single fetus were selected and the results of macrosomia predicted by an ultrasonic instrument with a formula were taken as a control group and the results of macrosomia predicted by the combination of AC， FSTT， BPD， FL and many other parameters as an experimental group. The actual coincident rate was compared between two groups. Results： The coincident rates of weight prediction in 581 cases of neonatal and 35 cases of macrosomia were obviously higher in the experimental group than in the control group （P0.05） and the coincident rates of AC and FSTT was slightly higher than that of BPD and FL （P0.05）. Conclusion： The method for the prediction of neonatal weight by the combined use of AC， FSTT， BPD， FL and many other parameters is simple， fast， accurate， can objectively reflect the predictive index of macrosomia and reduce the complications， and is worthy of promotion and application. 　　KEY WORDS macrosomia； ultrasound； femur soft tissue thickness 　　胎儿体重是决定分娩方式及结果的重要因素之一。因此，产前准确地估计胎儿体重可及早发现和诊断巨大儿，有利于选择分娩时机及方式，减少产科并发症及围生儿病死率以获得良好的围产结局[1]。我院针对分娩前1周内胎儿，综合应用腹围（abdominal circumference，AC）、股骨软组织厚度（fumeral soft tissue thickness，FSTT）、双顶径（biparietal diameter，BPD）、股骨长（femur length，FL）等多项超声指标快速预测巨大儿，现将结果报告如下。 　　一般资料 　　入选标准 　　选取2010年11月-2011年4