妊娠晚期超声对羊水量评估的临床价值及其影响因素..docVIP

妊娠晚期超声对羊水量评估的临床价值及其影响因素 】目的探讨。方法彩色多普勒超声仪测量羊水 指数(AFI)，并与产后测得的实际羊水量(AAFV)进行比较，探 讨其对AAFV的评估价值。同时记录孕妇的一般情况、产前7 天内的超声参数及胎儿附属物等情况，研究影响羊水量(AFV) 测量的相关因素，并对影响测量的各参数进行回归分析，预 测羊水量。结果羊水过少(AH彡50mm和AFI : 51?79mm)、 羊水量正常及羊水过多组的阳性预测值分别为％、％、％、％。 AFI、胎儿腹围(AC)对羊水量测量有影响，且具有显著性差 异。进行回归分析得到回归方程，该方程与羊水过少的阳性 预测有很好的相关性。结论超声对羊水过少(AFI50mm)和 正常羊水量具有较高的评估价值，回归方程可以更加精确地 估计羊水量。 关键词】羊水量；超声；影响因素 Abstra ct：Objective ofultrasonographyactorsintheassessme olumeduringthelast ods ColorDopplerul Abstra ct：Objective ofultrasonographya ctorsintheassessme olumeduringthelast ods ColorDopplerul tofamnioticfluidin entlycomparedwithp Tostu dytheclinicalvalue ndtheinfluentialfa ntofamnioticfluidv pregnancyterm. Meth trasoundmeasuremen dex (AFI)wassubsequ ostpartumactualamn ioticfluidvolume (A heel inicalvalueofusessingAAFV. Meanwh thstatusofthepregn eparametersduringt sandfetalappendage astudyoftheinfluen ssionanalysiswasco butingparametersof asurementstoprognosticateAFV. ResultsAFV)toinvestigatet ltrasonographyinas ile,thegeneralheal antwomen,ultrasoni helast7prenataldaywererecordedtomake tialfactors. Aregre nductedonthecontri ultrosonographiemeThecoincidencerately. AFIandACmayaff ediagnoses,withsig s.Aregressionequat byregressionanalys relatedwiththeprog ioticfluidvolume (A heel inicalvalueofu sessingAAFV. Meanwh thstatusofthepregn eparametersduringt sandfetalappendage astudyoftheinfluen ssionanalysiswasco butingparametersof asurementstoprogno sticateAFV. Results AFV)toinvestigatet ltrasonographyinas ile,thegeneralheal antwomen,ultrasoni helast7prenatalday wererecordedtomake tialfactors. Aregre nductedonthecontri ultrosonographieme Thecoincidencerat ely. AFIandACmayaff ediagnoses,withsig s.Aregressionequat byregressionanalys relatedwiththeprog hydramnios. Conclus ion Ultrasonograph yhasconsiderablecl inicalvalueinasses esofpostpartumolig ohydramnios(AFI50 mm；AFI：51 79mm),no rmalamnioticfluidv olumeandpolyhydram nioswithultrasonog raphicresultswere% ,%,%and%,respectiv ectultrasonographi nificantdifference io