评估胎儿脏测量作为第二和第三季度妊娠年龄估计的辅助参数:一个横截面研究
Renukanandan Patil1, Shailaja Bidri1, Ravi Kumar Yeli2
1Obstetrics and Gynaecology, Shri B. M. Patil Hospital, Medical College and Research Center, BLDE (Deemed to be University), Vijayapura, IND.
Cureus
|July 7, 2025
概括
胎儿长 (FKL) 是一个可靠的工具来估计妊娠年龄 (GA) 在晚期怀孕. 这种超声波测量与GA有很强的相关性,在其他方法变得不那么精确时提供精度.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿医学 胎儿医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 准确的妊娠年龄 (GA) 估计对于最佳的产前护理至关重要.
- 传统的超声波生物识别 (例如,大腿骨长度) 在怀孕晚期的精度下降.
- 需要可靠的辅助方法来进行第二和第三季度的GA评估.
研究的目的:
- 评估胎儿长 (FKL) 作为估计GA的辅助生物识别参数.
- 评估FKL和GA在怀孕20至40周之间的单子妊娠中的相关性.
- 为了比较使用FKL的GA估计与既定标准.
主要方法:
- 300个单独怀孕 (20-40周GA) 的前性观察研究.
- 胎儿长 (FKL) 通过超声波测量;使用的两个的平均值.
- 基于FKL的GA与ACOG标准和哈德洛克公式的比较,使用皮尔森相关性和t测试.
主要成果:
- 在FKL和GA之间发现了强烈的正相关性 (右侧r=0.844,左侧r=0.805;p<0.01).
- 测量FKL显示,随着妊娠期的推进到36周,FKL显著增加 (p < 0.0001).
- 右和左的平均长度分别为36.27毫米和35.26毫米.
结论:
- 胎儿长 (FKL) 是估计妊娠年龄 (GA) 的可靠生物识别参数.
- 在第二和第三个季度,FKL作为GA确定的一个有价值的辅助.
- 当传统的超声波参数不那么准确或不确切时,FKL特别有用.
相关概念视频
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
236
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
236
Nursing Assessment of the Genitourinary System III: Percussion and Auscultation
120
The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
120
Chronic Kidney Disease III: Interprofessional Care
82
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
82
External Anatomy of the Kidney
1.7K
The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
1.7K
Factors Affecting Renal Clearance: Renal Impairment
165
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
165
Acute Kidney Injury III: Clinical Manifestations
97
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
97


