本文選題：超聲 + 雙胎妊娠　； 參考：《上海交通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年04期

【摘要】：目的·研究胎兒估計(jì)體質(zhì)量(EFW)差異與新生兒出生體質(zhì)量(BW)差異間的關(guān)系,評(píng)估超聲預(yù)測(cè)雙胎妊娠的新生兒出生體質(zhì)量差異(?BW)的準(zhǔn)確性。方法·應(yīng)用超聲檢測(cè)不同孕周雙胎的生長(zhǎng)參數(shù),對(duì)各項(xiàng)參數(shù)進(jìn)行統(tǒng)計(jì)學(xué)分析,探討EFW差異(?EFW)與?BW之間的關(guān)系。結(jié)果·在277對(duì)雙胎中,44對(duì)雙胎(15.9%)存在2個(gè)胎兒?BW≥20%。該現(xiàn)象在雙絨毛膜雙羊膜囊雙胎(DCDA)與單絨毛膜雙羊膜囊雙胎(MCDA)的發(fā)生率分別為68.2%和31.8%,兩者差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.01)。與孕期其他孕周評(píng)估的?EFW相比,分娩前末次超聲評(píng)估的?EFW與?BW一致性最佳。在MCDA中,孕22~24周超聲評(píng)估?EFW的陰性預(yù)測(cè)值最高(94%)。結(jié)論·雙胎妊娠胎兒出生前末次超聲評(píng)估的?EFW與?BW的一致性最高。對(duì)超聲未發(fā)現(xiàn)?EFW較大即?EFW20%的雙胎,尤其是孕22~24周階段MCDA中?EFW20%者,其未來(lái)發(fā)生選擇性宮內(nèi)生長(zhǎng)受限(s IUGR)機(jī)會(huì)較小。
[Abstract]:Objective to study the relationship between fetal estimated body mass (EFW) and neonatal birth weight (BW), and to evaluate the accuracy of ultrasound in predicting neonatal birth weight difference (BW) in twin pregnancy. Methods the growth parameters of twins of different gestational weeks were measured by ultrasound, and the relationship between EFW difference (EFW) and BW was analyzed statistically. Results in 277 pairs of twins, 44 pairs (15.9%) had two fetal BW 鈮，

本文編號(hào)：2066571