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预防医学  2021, Vol. 33 Issue (4): 369-372    DOI: 10.19485/j.cnki.issn2096-5087.2021.04.009
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胎儿生长受限监测的研究进展
母仕银, 张珂 综述, 邱丽倩 审校
浙江大学医学院附属妇产科医院妇女保健部,浙江 杭州 310006
Research progress of fetal growth restriction monitoring
MU Shiyin, ZHANG Ke, QIU Liqian
Department of Women's Health, Women's Hospital, Affiliated with School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, China
全文: PDF(890 KB)  
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摘要 胎儿生长受限(FGR)指各种病理因素导致胎儿在宫内生长发育受到限制。母体、胎儿、胎盘及脐带因素均可能导致FGR。目前尚无诊断FGR的金标准,因此,加强FGR监测具有重要意义。FGR围产期宫内监测方法包括孕妇宫高测量、B超检查、多普勒血流监测、血清学检测和遗传学手段等。然而,单一指标对预测及诊断FGR价值有限,且大多数检测技术主要针对早发型FGR,对迟发型FGR检测的灵敏度和特异度均较低。未来研究需致力于早期、精准识别FGR,尽早干预,减少不良妊娠结局的发生。
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母仕银
张珂
邱丽倩
关键词 胎儿生长受限宫内监测超声脐血流    
Abstract:Fetal growth restriction (FGR) refers to the restriction of fetal growth and development in uterus due to various pathological factors, which can not achieve its genetic growth potential. Maternal, fetal, placental and umbilical factors may lead to FGR. At present, there is no golden standard for diagnostis of FGR; thus it is of great significance to strengthen the perinatal monitoring of FGR. The perinatal monitoring methods of FGR include measurement of symphysio-fundal height (SFH), B-ultrasonography, Doppler ultrasonography, serological detection and genetic means. However, single index in the prediction and diagnosis of FGR is limited. Most of the detection methods are for early-onset FGR, while their sensitivity and specificity for late-onset FGR are low. Future studies need to focus on early and accurate identification of FGR for early intervention, in order to reduce the incidence of adverse pregnancy outcomes.
Key wordsfetal growth restriction    intrauterine monitoring    ultrasound    umbilical artery
收稿日期: 2020-09-22      修回日期: 2020-12-05      出版日期: 2021-04-10
中图分类号:  R714.51  
通信作者: 邱丽倩,E-mail:qiulq@zju.edu.cn   
作者简介: 母仕银,硕士在读,主要从事妇产科相关疾病研究工作
引用本文:   
母仕银, 张珂, 邱丽倩. 胎儿生长受限监测的研究进展[J]. 预防医学, 2021, 33(4): 369-372.
MU Shiyin, ZHANG Ke, QIU Liqian. Research progress of fetal growth restriction monitoring. Preventive Medicine, 2021, 33(4): 369-372.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.04.009      或      http://www.zjyfyxzz.com/CN/Y2021/V33/I4/369
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