B超测量胎儿腹径在巨大儿预测中的应用──附168例分析

Estimating macrosomia by fetal abdominal diameter with ultrasound B scanning

目的 探讨一种Ｂ超预测巨大儿的简便、实用的方法。方法 回顾性分析１９９４年１月至１９９８年１２月间出生的巨大儿共１６８例。结果 胎儿腹径［ＡＤ＝（ＴＡＤ＋ＡＰＡＤ）／２］＞１１０ｍｍ者１４５例，预测巨大儿符合率为８６．３１％，与ＡＣ、ＡＤ＋ＢＰＤ、ＡＤ＋ＦＬ、ＡＤ＋ＢＰＤ＋ＦＬ相似，优于ＢＰＤ、ＦＬ、ＢＰＤ＋ＦＬ及宫高＋腹围。结论Ｂ超测量胎儿腹径预测巨大儿简便、实用、准确，值得临床推广应用。

Objective To find a simple and practical method to estimate macrosomia with ultrasound B scanning. Methods 168 cases of macrosomia delivered from January 1994 to December 1998 were retrospectively analysed. Results Among the 168 cases, 145 cases had abdominal diameter[AD = (TAD + APAD)/2]≥110mm. accounting for 86.31% .The result was the same as those of AC, AD and BPD, AD and FL, AD and BPD and FL, and better than BPD, FL, BPD and FL. et al. Conclusion It demonstrates that using fetal abdominal diameter measurement to estimate macrosomia with ultrasonography is a simple, practical and accurate method, and it can be used widely.