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子宫动脉血流速度检测在预测妊娠结局中的价值
引用本文:高珊,伊莲花,宫桂兰.子宫动脉血流速度检测在预测妊娠结局中的价值[J].中日友好医院学报,2001,15(4):221-223.
作者姓名:高珊  伊莲花  宫桂兰
作者单位:1. 中日友好医院妇产科,
2. 白求恩医科大学附属第三医院电诊科,
3. 白求恩医科大学附属第三医院妇产科,
摘    要:目的:应用彩色多普勒检测子宫动脉血流速度来预测围产儿预后,从提高围产期监护质量。方法:测量孕妇子宫动脉血流速度,计算S/D值及RI值,进行围产儿预后的比较,计算S/D值异常预测胎儿宫内发育迟缓(IUGR)的敏感度,特异度,阳性预测值,阴性预测值及kappa指数,结果:妊娠高血压综合征孕发较正常孕妇子宫动脉的S/D值增高,RI值增高,血管内径减小,子宫动脉S/D值异常者较正常者围产儿预后不良,S/D值预测IUGR具有较高的敏感度和阴性预测值,与实际情况有良好的一致性,结论:多普勒超声子宫动脉血流频谱特点对预测妊娠结局有使用价值。

关 键 词:子宫动脉  妊娠结局  血流速度  超声波诊断
文章编号:1001-0025(2001)04-0221-03
修稿时间:2001年4月26日

The value of Doppler ultrasound measurement on uterine artery flow velocity in predicting pregnancy outcome
Abstract:Objective:To study the uterine artery flow velocity waveform s measured on color ultrasound Doppler ultrasound,so as to predict the bad perinat al outcome. Methods:Measuring uterine artery inside-diameter and flow veloc i ty waveforms,and calculating the S/D ratio and the resistance index,their perina tal outcome were compared.Then calculating the sensitivity,the specificity,the p ositive predictive value,the negative predictive value and kappa index of the pr edicting of intrauterine growth retardation(IUGR) with the anomalous S/D ratio. Results:As for the patients who caught a PIH,the S/D ratio incre ased,RI value increased,and the uterine artery inside-diameter decreased.Compar ed with the group with a normal S/D ratio,the group with a anomalous S/D ratio h as a bad perinatal outcome.Predicting IUGR with a anomalous S/D ratio has a high er sensitivity and negative predictive value.Conclusion:Doppler ultrasound is very useful for the predicting of perinatal outcome.
Keywords:Doppler ultrasound  uterine artery  pregnancy outcome
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