CAJ | 학술논문

目的：探讨彩色多普勒超声（CDFI）监测生长受限（FGR）胎儿静脉导管、脐动脉的血流参数的临床价值。方法50例FGR组胎儿，80例正常胎儿为对照组，CDFI检测其静脉导管前负荷指数（PLI）、心室收缩期峰值流速/心房收缩谷流速（S/a）、脐动脉心室收缩峰值流速/心舒张末期流速（S/D）及搏动指数（PI）。结果与对照组比较，FGR组脐动脉S/D、PI、静脉导管S/a、PLI均增高（P＜0．05）。脐动脉S/D正常组与S/D异常组比较、静脉导管S/a正常组与S/D异常组比较，分娩时孕龄、出生时新生儿体质量、5 min Apart评分、剖宫产率及围生期死亡率差异均有统计学意义（P＜0．05）。采用静脉导管S/a和脐动脉S/D均异常较仅采用脐动脉S/D异常预测妊娠结局的误诊率低，诊断指数高。结论应用CDFI监测FGR胎儿静脉导管及脐动脉血流参数有重要的临床价值。
목적：탐토채색다보륵초성（CDFI）감측생장수한（FGR）태인정맥도관、제동맥적혈류삼수적림상개치。방법50례FGR조태인，80례정상태인위대조조，CDFI검측기정맥도관전부하지수（PLI）、심실수축기봉치류속/심방수축곡류속（S/a）、제동맥심실수축봉치류속/심서장말기류속（S/D）급박동지수（PI）。결과여대조조비교，FGR조제동맥S/D、PI、정맥도관S/a、PLI균증고（P＜0．05）。제동맥S/D정상조여S/D이상조비교、정맥도관S/a정상조여S/D이상조비교，분면시잉령、출생시신생인체질량、5 min Apart평분、부궁산솔급위생기사망솔차이균유통계학의의（P＜0．05）。채용정맥도관S/a화제동맥S/D균이상교부채용제동맥S/D이상예측임신결국적오진솔저，진단지수고。결론응용CDFI감측FGR태인정맥도관급제동맥혈류삼수유중요적림상개치。
Objective To discuss the clinical value of measuring ductus venosus and umbilical artery using CDFI in the growth-restricted fetus (FGR). Methods Eighty normal fetuses as control group and fifty growth-restricted fetuses as GRF group were measured using CDFI for hemodynamic parameters of ductus venosus and umbilical artery including PLI,S/a,S/D and PI. Results PLI,S/a of ductus venosus and S/D,PI of umbilical artery in FGR group were higher than those in normal group(P<0.05). There are significant differences in Apgar score within 5 min after birth,birth body weigh and fetal between the normal S/D and the abnormal S/D of umbilical artery,so the normal S/a and the abnormal S/a of ductus venosus did(P<0.05). Conclusion The measurement of ductus venosus and umbilical artery of FGR has important clinic value using CDFI.