CAJ | 학술논문

目的：研究静脉导管多普勒超声检查在预测宫内窘迫胎儿不良出生结局中的临床应用价值。方法选取我院经确诊胎儿宫内窘迫的孕妇62例，依据新生儿出生不同结局分为正常组19例、轻微异常组28例和明显异常组15例。检测比较各组胎儿静脉导管及脐静脉多普勒血流参数变化情况。结果胎儿静脉导管的分流率（QDV/QUV）、心室收缩期峰值流速/心房收缩期峰值流速（DVS/A）及静脉导管的阻力指数（DVRI）均可以作为预测宫内窘迫胎儿明显异常出生结局的有效指标。其中DVS/A受试者工作特征曲线下面积最大，为92％，其次为DVRI，曲线下面积为90％，QDV/QUV曲线下面积为76％。结论QDV/QUV、DVS/A及DVRI均可作为预测宫内窘迫胎儿明显异常出生结局的有效指标，其中DVS/A及DVRI预测价值较高。
목적：연구정맥도관다보륵초성검사재예측궁내군박태인불량출생결국중적림상응용개치。방법선취아원경학진태인궁내군박적잉부62례，의거신생인출생불동결국분위정상조19례、경미이상조28례화명현이상조15례。검측비교각조태인정맥도관급제정맥다보륵혈류삼수변화정황。결과태인정맥도관적분류솔（QDV/QUV）、심실수축기봉치류속/심방수축기봉치류속（DVS/A）급정맥도관적조력지수（DVRI）균가이작위예측궁내군박태인명현이상출생결국적유효지표。기중DVS/A수시자공작특정곡선하면적최대，위92％，기차위DVRI，곡선하면적위90％，QDV/QUV곡선하면적위76％。결론QDV/QUV、DVS/A급DVRI균가작위예측궁내군박태인명현이상출생결국적유효지표，기중DVS/A급DVRI예측개치교고。
Objective To investigate the application value of ductus venosus Doppler blood flow in predicting neonatal outcome of fetal distress .Methods Doppler flow ultrasound was used to examine the umbilical venous and ductus venosus in 62 pregnant women with fetal distress who were enrolled and divided into three groups according to neonatal outcome , including normality (n=19) ,mild abnormality (n=28) and apparent abnormality groups (n= 15) .Results Resistence index (DVRI) ,ratio of S-peak and A-peak velocity (DVS/A) ,ratio of ductus venosus blood flow volume and umbilical ve-nous blood flow volume (QDV/QUV) could predict serious neonatal outcome of fetal distress .The area under receiver op-erating characteristic curve (AUC) of DVS/A was the biggest (92% ) ,and then DVRI (90% ) followed .The AUC of QDV/QUV was 76% .Conclusion QDV/QUV ,DVS/A and DVRI can all predict serious neonatal outcome of fetal dis-tress ,and DVS/A and DVRI have greater predictive value .