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早孕期胎儿大脑中动脉收缩期峰值流速、心胸比值与胎儿头臀长的相关性

邓许洁 陈翠华 裘毓雯 肖淑芳 廖淑欣 钟梅 杨芳

南方医科大学学报2016,Vol.36Issue(10):1312-1315,4.
南方医科大学学报2016,Vol.36Issue(10):1312-1315,4.DOI:10.3969/j.issn.1673-4254.2016.10.02

早孕期胎儿大脑中动脉收缩期峰值流速、心胸比值与胎儿头臀长的相关性

Correlation analysis of fetal middle cerebral artery peak systolic velocity, cardiothoracic ra-tio and crown-rump length in early pregnancy

邓许洁 1陈翠华 1裘毓雯 1肖淑芳 1廖淑欣 1钟梅 1杨芳1

作者信息

  • 1. 南方医科大学南方医院妇产科,广东 广州 510515
  • 折叠

摘要

Abstract

Objective To explore the pattern of variations in middle cerebral artery peak systolic velocity (MCA PSV) and cardiothoracic ratio (CTR) during early pregnancy, establish their reference ranges and explore their correlation with the crown-rump length (CRL). Methods A total of 522 pregnant women with normal findings in antenatal examinations underwent routine color Doppler ultrasound examination to collect the data of MCA PSV, CTR and CRL. The reference ranges of MCA PSV and CTR for different CRL levels were established, and the correlation of MCA PSV and CTR with CRL was analyzed. Results During the first trimester, MCA PSV and CRL showed a moderate positive correlation with a correlation coefficient of 0.426 (P<0.001), while CTR and CRL showed no significant correlation (0.168, P<0.001). The reference range of MCA PSV was 14.35 (14.08-14.62) cm/s and that of CTR was 0.34 (0.33-0.34) during early pregnancy. Conclusion Color Doppler ultrasound is a safe and feasible modality to assess fetal MCA PSV and CTR for detecting fetal growth abnormalities in early pregnancy. The established reference ranges of MCA PSV and CTR offer a clinical theoretical basis for detectingα-thalassemia in early pregnancy.

关键词

早孕/大脑中动脉收缩期峰值流速/心胸比值/头臀长

Key words

early pregnancy/middle cerebral artery peak systolic velocity/cardiothoracic ratio/crown-rump length

引用本文复制引用

邓许洁,陈翠华,裘毓雯,肖淑芳,廖淑欣,钟梅,杨芳..早孕期胎儿大脑中动脉收缩期峰值流速、心胸比值与胎儿头臀长的相关性[J].南方医科大学学报,2016,36(10):1312-1315,4.

基金项目

国家自然科学基金(81401214) Supported by National Natural Science Foundation of China (81401214) (81401214)

南方医科大学学报

OA北大核心CSCDCSTPCDMEDLINE

1673-4254

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