[胎儿生物学曲线的实用比较]
Ferdinand Dhombres1, Mona Massoud2
1Sorbonne université, AP-HP, hôpital Trousseau, service de médecine fœtale, GRC26 et inserm LIMICS, Paris, France.
Gynecologie, obstetrique, fertilite & senologie
|September 22, 2023
概括
新的胎儿生物识别图表可以更好地检测小头症和小腹周长. 法国和国际标准之间的差异很小,这表明指导方针的过渡是平稳的.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿医学 胎儿医学
- 医疗成像医学成像
背景情况:
- 目前法国胎儿超声波查使用特定的生物识别图表 (HC,BIP,AC,FL).
- 2022年推新的国际增长标准,需要与现有的法国指南进行比较.
研究的目的:
- 量化评估法国胎儿生物识别曲线与新的国际标准 (世卫组织,INTERGROWTH-21) 之间的差异.
- 评估采用新胎儿生长标准的临床影响.
主要方法:
- 使用量子式回归方程对胎儿生物学曲线进行比较.
- 为关键百分位数量化毫米和比例差异的量化.
- 法国胎儿超声波学院 (CFEF),世界卫生组织和INTERGROWTH-21数据的分析.
主要成果:
- 与新标准相比,CFEF图表低估了头周长 (HC) 和腹周长 (AC) 的百分比较低.
- CFEF与国际曲线之间的比例差异始终低于5%.
- 在OMS和INTERGROWTH-21之间,HC,FL和AC的特定百分点差异很小 (≤5%).
结论:
- 采用新的规范标准可能会提高检测胎儿的AC低于10个百分点和产前小头症.
- 没有证据表明严重的骨质疾病的检测率下降.
- 过渡到新的标准不太可能需要对产科指南进行重大修改.
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