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Ultrasound in Obstetrics and Gynecology最新文献

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Does amniocentesis (AC) influence fetal growth? 羊膜穿刺术(AC)会影响胎儿生长吗?
Pub Date : 2001-10-01 DOI: 10.1046/j.1469-0705.2001.abs27-31.x
T. Nguyen, T. Larsen
Purpose:  To examine the relationship between AC and birth weight.
目的:探讨AC与出生体重的关系。
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引用次数: 0
Doppler velocimetry of uterine arteries between 12 and 16 weeks of gestation 妊娠12至16周子宫动脉多普勒测速仪
Pub Date : 2001-10-01 DOI: 10.1046/j.1469-0705.2001.0180S1042.x
Sang Choon Char, A. A. Yamasaki, G. Braia, O. Toma
Introduction:  The aim of prenatal care is to identify high risk pregnant in order to adopt preventive and/or therapeutic treatments. The presence of an end diastolic ‘notch’ at uterine Doppler velocimetry has been considered a predictor to pre‐eclampsia and intrauterine reduced growth. It reflects an answer expressed by a wave of high amplitude representing vascular bed with high resistance (utero‐placental circulation).
前言:产前护理的目的是识别高危孕妇,以便采取预防和/或治疗措施。子宫多普勒测速显示舒张末期“缺口”的存在被认为是先兆子痫和宫内生长减少的预测因子。它反映了一个由高振幅波表示的答案,代表血管床具有高阻力(子宫-胎盘循环)。
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引用次数: 0
Early antenatal diagnosis of cardiac failure using Doppler ultrasound of umbilical artery 脐动脉多普勒超声早期产前诊断心衰
Pub Date : 2001-10-01 DOI: 10.1046/j.1469-0705.2001.abs17-3.x
C. Murta, A. Moron, M. Ávila, F. Vasques
Background:  During the last 2 years, few prenatal ultrasonographic studies have documented a strong association between abnormal fetal venous return and chromosomal abnormalities. Articles in the English language medical literature were identified through MEDLINE. There is only one report of reverse flow pattern in the umbilical vein in severe intrauterine growth restriction at 29 weeks' gestation. The present case is the earliest documentation of this alteration in fetal venous return.
背景:在过去的两年中,很少有产前超声检查证明胎儿静脉回流异常和染色体异常之间有很强的联系。通过MEDLINE检索英文医学文献中的文章。在妊娠29周严重的宫内生长受限患者中,仅有一例脐静脉反向流动的报道。本病例是胎儿静脉回流改变的最早记录。
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引用次数: 0
Prenatal treatment of severe congenital erythropoetic porphyria (CEP) – a case report 重度先天性红细胞性卟啉症(CEP)的产前治疗1例
Pub Date : 2001-10-01 DOI: 10.1046/j.1469-0705.2001.abs28-42.x
P. Calda, Z. Žižka, M. Dokoupilová, V. Sebroň, L. Haakova, V. Eretová, R. Plavka
Introduction:  Less than 3% of porhpyhia cases affect children and CEP is the most severe.
儿童卟啉病发病率不到3%,以CEP最为严重。
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引用次数: 0
Prenatal detection of cardiac rhabdomyomas and cerebral lesions in a fetus with tuberous sclerosis: a case report 结节性硬化症胎儿心脏横纹肌瘤和大脑病变的产前检测:1例报告
Pub Date : 2001-10-01 DOI: 10.1046/j.1469-0705.2001.abs28-32.x
I. Dias, M. Bernardo, T. Kay, S. D. Almeida, Maria Beatriz Marques, J. Bugalho
Tuberous sclerosis is characterized by the development of hamartomatous lesions throughout many tissues, particularly the brain, the skin, the heart and the kidneys. The authors report a case of tuberous sclerosis suspected by prenatal ultrasound detection of cardiac rhabdomyomas and brain masses. At 20 weeks the ultrasound evaluation did not reveal any cardiac or brain lesions. Later on, at 33 weeks, multiple echogenic masses in the heart, located in the ventricular walls and interventricular septum and two small cerebral echogenic masses were diagnosed. No other abnormalities were noted. There is no previous genetics history in the family. Sequential examination revealed a discrete increase in size of the tumors; no hemodynamic or arrhythmic consequences were detected. A male fetus was delivered at term, with normal weight and Apgar score. Postnatal magnetic resonance imaging confirmed the small brain tumors. The baby had some seizures that were controlled with anti‐epileptic therapy. Cardiac tumors spontaneously decreased and their regression was confirmed, a few months later, by echocardiogram. The skin of the baby showed some de‐pigmented spots. No other abnormalities were detected namely in the kidneys. At 13 months, the child had normal growth and developed appropriately. As in other cases confirmed by literature the findings of cerebral lesions on fetal ultrasound can help in the prenatal diagnosis of tuberous sclerosis, but does not necessarily indicate a poor prognosis.
结节性硬化症的特点是在许多组织中发生错构瘤病变,特别是在大脑、皮肤、心脏和肾脏。作者报告了一例结节性硬化症怀疑产前超声检测心脏横纹肌瘤和脑肿块。20周时,超声检查未发现任何心脏或脑部病变。后来,在33周时,诊断出位于心室壁和室间隔的多个心脏回声肿块和两个小的脑回声肿块。没有发现其他异常。家族中没有先前的遗传史。序贯检查显示肿瘤大小离散增加;未发现血流动力学或心律失常的后果。一名男婴足月出生,体重正常,阿普加评分正常。产后磁共振成像证实了小脑瘤。婴儿有一些癫痫发作,通过抗癫痫治疗得到控制。心脏肿瘤自发缩小,几个月后通过超声心动图证实其消退。婴儿的皮肤显示出一些色素脱落的斑点。在肾脏中未发现其他异常。13个月时,孩子生长正常,发育正常。在文献证实的其他病例中,胎儿超声的脑部病变发现可以帮助结节性硬化症的产前诊断,但并不一定表明预后不良。
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引用次数: 0
The effect of nuchal translucency measurement on second‐trimester biochemical screening for Down's syndrome 颈部透明度测量在妊娠中期唐氏综合征生化筛查中的作用
Pub Date : 1997-04-01 DOI: 10.1016/S0929-8266(97)90344-X
R. Kadir, D. Economides
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引用次数: 69
Cost‐effectiveness of one‐stage ultrasound screening in pregnancy: a report from the Helsinki ultrasound trial 妊娠期一期超声筛查的成本-效果:赫尔辛基超声试验报告
Pub Date : 1996-05-01 DOI: 10.1097/00006254-199701000-00006
T. Leivo, Risto Tuominen, A. Saari-Kemppainen, Pekka Ylöstalo, O. Karjalainen, Olli P. Heinonen
The objective of this study was to evaluate, in a controlled clinical trial, the costs of standardized one‐stage ultrasound screening in pregnancy in relation to the reduction in perinatal mortality. A trial population of 9310 pregnant women was randomly allocated to ultrasound screening or a control group. Two obstetric hospitals and 64 recruiting antenatal health centers were involved. The costs included actually realized costs, i.e. positive costs, and gains, i.e. negative costs, resulting from lower health‐care use. Cost‐accounting data were obtained by a questionnaire to all attenders and measurements at the screening, and later complemented by a questionnaire to a random sample of 534 screened women. Internal accounting and other hospital data, national statistics and health‐market sources were also used. The actually realized cost of each avoided perinatal death was FIM 84 378 ($21 938), while the net over‐all estimate combining all positive and negative costs showed a cost saving of FIM 65 680 ($17 077). The total positive unit cost of ultrasound screening was FIM 393 ($102). Longer ultrasound examination time and more numerous advanced examinations were rewarded by clearly fewer perinatal deaths and a better cost‐effectiveness ratio. One‐stage second‐trimester ultrasound screening is cost‐effective when all significant costs and effects are taken into account. Copyright © 1996 International Society of Ultrasound in Obstetrics and Gynecology
本研究的目的是在一项对照临床试验中评估标准化孕期一期超声筛查的成本与降低围产期死亡率的关系。试验人群为9310名孕妇,随机分为超声筛查组和对照组。参与了两家产科医院和64家产前保健中心。成本包括实际实现成本,即积极成本和收益,即因医疗保健使用减少而产生的消极成本。成本核算数据是通过对所有参与者的问卷调查和筛查时的测量获得的,然后通过对534名筛查女性的随机抽样问卷进行补充。还使用了内部会计和其他医院数据、国家统计数据和卫生市场来源。每个避免围产期死亡的实际实现成本为84 378斐济元(21 938美元),而综合所有阳性和阴性成本的净总体估计显示节省了65 680斐济元(17 077美元)。超声筛查总阳性单位成本为393菲林(102美元)。更长的超声检查时间和更多的高级检查明显减少了围产期死亡率和更好的成本-效果比。当考虑到所有重要的成本和效果时,孕中期超声筛查是具有成本效益的。版权所有©1996国际妇产科超声学会
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引用次数: 56
Doppler velocimetry of the uterine artery as a screening test for gestational hypertension 子宫动脉多普勒测速作为妊娠期高血压的筛查试验
Pub Date : 1993-10-01 DOI: 10.1097/00006254-199310000-00006
H. Valensise, V. Bezzeccheri, G. Rizzo, A. Tranquilli, G. Garzetti, C. Romanini
Doppler ultrasound was used to study the main uterine artery flow velocity waveforms in an unselected population of 272 primiparous women at 22 weeks' gestation. The incidences of subsequent complications were as follows: gestational hypertension alone, 4.4%; intrauterine fetal growth retardation alone, 4%; and gestational hypertension with intrauterine growth retardation, 3.6%. The flow velocity waveform was considered abnormal when the resistance index in the uterine artery was greater than 0.58. This identified 9.5% of the population as ‘at risk’ and predicted either of the above outcomes with an overall sensitivity of 74% (kappa index, 0.72). The sensitivity of prediction for gestational hypertension alone was 50% while for proteinuric gestational hypertension it was 88%. The best result was obtained for the prediction of pregnancies affected by both gestational hypertension and intrauterine growth retardation, where the sensitivity was 100%. Copyright © 1993 International Society of Ultrasound in Obstetrics and Gynecology
应用多普勒超声对272例妊娠22周的初产妇的子宫动脉流速波形进行了研究。随后并发症的发生率如下:妊娠期高血压单独,4.4%;仅宫内胎儿生长迟缓,4%;妊娠期高血压合并宫内发育迟缓占3.6%。当子宫动脉阻力指数大于0.58时,认为流速波形异常。该方法确定9.5%的人群为“高危人群”,并以74%的总体敏感性预测上述结果中的任何一种(kappa指数,0.72)。预测妊娠期高血压的敏感性为50%,而预测蛋白尿妊娠期高血压的敏感性为88%。对于同时伴有妊娠期高血压和宫内发育迟缓的妊娠预测结果最好,敏感性为100%。版权所有©1993国际妇产科超声学会
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引用次数: 81
期刊
Ultrasound in Obstetrics and Gynecology
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