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胎儿腹壁厚度与糖尿病患者出生体重的相关性

M Rauh¹, M Voigt¹, M Kappelmeyer²

¹Department of Obstetrics and Gynaecology, Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.

European journal of obstetrics, gynecology, and reproductive biology

|October 12, 2024

概括

胎儿腹壁厚度 (AWT) 在糖尿病怀孕中与出生体重有适度的相关性. 虽然AWT可以预测巨,但估计的胎儿体重在识别高出生体重婴儿方面略有更有效.

科学领域:

围产儿医学围产儿医学
胎儿超声波检查胎儿超声波检查
孕产妇和胎儿医学孕产妇和胎儿医学

背景情况:

怀孕期间的糖尿病与胎儿巨症的风险增加有关.
准确的胎儿体重估计对于管理因糖尿病而复杂的怀孕至关重要.

研究的目的:

调查糖尿病孕妇的声波测量腹壁厚度 (AWT) 和胎儿出生体重之间的联系.
评估AWT用于识别宏观胎儿的预测价值.

主要方法:

对185名患有糖尿病的孕妇进行回顾性研究.
胎儿AWT通过超声波测量,与出生体重和估计胎儿体重相关 (哈德洛克I公式).
用于评估预测性能的接收器操作特征 (ROC) 曲线分析.

主要成果:

在胎儿AWT和出生体重 (r=0.493,p<0.001) 之间发现了中度正相关性.
7.1毫米的AWT预测出生体重>第90百分位,灵敏度为61%和特异性为85%.
预计的胎儿体重单独显示在预测宏观症的性能略高于AWT或它们的组合.

结论:

超声波测量AWT是糖尿病母亲胎儿出生体重百分位数的潜在预测指标.
估计的胎儿体重似乎比AWT更有效地识别宏观胎儿.
结合AWT和估计的胎儿体重,只能在预测准确度上得到微不足道的改善.

关键词:

胎儿的腹壁厚度胎儿的腹壁厚度胎儿的宏观生长 (Fetal macrosomia) 是一个很大的问题.胎儿体重估计的估计.孕期糖尿病孕期糖尿病

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