CAJ | 학술논문

目的：探讨应用胎儿小脑横径单项超声测量指标预测胎儿出生体重的临床价值。方法：应用B型超声对115例临产胎儿的小脑横径、双顶径、头围、腹围、股骨长度、肝脏长度、股骨中段皮下组织厚度、肾脏长径进行测量，并与新生儿体重的关系进行分析，将预测体重与实际体重进行比较，分析其误差。结果：小脑横径与新生儿出生体重相关性好，其相关系数r＝0.85(P＜0.001)。预测体重与实际体重绝对误差在±200g内者占75%，相对误差＜±5%者占65%。结论：应用超声测量胎儿小脑横径预测胎儿出生体重，方法简单准确，具有较好的临床实用价值，值得在临床上推广。
목적：탐토응용태인소뇌횡경단항초성측량지표예측태인출생체중적림상개치。방법：응용B형초성대115례임산태인적소뇌횡경、쌍정경、두위、복위、고골장도、간장장도、고골중단피하조직후도、신장장경진행측량，병여신생인체중적관계진행분석，장예측체중여실제체중진행비교，분석기오차。결과：소뇌횡경여신생인출생체중상관성호，기상관계수r＝0.85(P＜0.001)。예측체중여실제체중절대오차재±200g내자점75%，상대오차＜±5%자점65%。결론：응용초성측량태인소뇌횡경예측태인출생체중，방법간단준학，구유교호적림상실용개치，치득재림상상추엄。
Objective：To study simple ultrasonic measurement in the estimation of fetal weight．Methods：Study of the relationship between ultrasonic measurements of fetal cerebellar diameter，biparietal diameter，head circumference，abdominal circumference，femur length，liver length，kidney length，femur thigh soft tissue thickness and neonatal birth weight in 115 cases．The calculated value of fetal body weight，as well as the estimated parameters of the fetal body was compared with the actually measured values immediately after birth．Results：There was significant correlation between CD and neonatal birth weight，the correlation coefficient r＝0.85（P＜0.001），among the 115 cases，86 had absolute error less than±200g，with an agreement rate of 75％． 75 cases had relative error less than ±5％，with an agreement rate of 65％．Conclusions：The ultrasonic measurement of fetal cerebellar diameter is a simple，accurate and valuable index in estimation of fetal weight and can be used in clinical practice．