The assessment of fetal behavior of growth restricted fetuses by 4D sonography
The assessment of fetal behavior of growth restricted fetuses by 4D sonography
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DOI：
10.1515/jpm.2006.092
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发表时间：
2006-01-01
影响因子：
2.4
通讯作者：
Kurjak, Asim
中科院分区：
文献类型：
--
作者：
Andonotopo, Wiku;Kurjak, Asim
目的：为了了解胎儿面部表情的数量和身体运动的质量是否可以作为一个额外的诊断标准，产前脑损伤的胎儿生长restriction.Subject和方法：进行了前瞻性研究，在50个简单的健康妇女作为对照组，可靠的日期怀孕和50个孕妇与生长受限胎儿作为研究组在妊娠晚期。结果：正常胎儿和宫内生长受限（IUGR）胎儿的各种运动模式的中位数不同，胎儿的运动模式的中位数不同，胎儿的运动模式的中位数不同，胎儿的运动模式的中位数不同。统计学评价显示，这些组之间的运动分布有显著性差异（P < 0.05）。我们注意到IUGR胎儿在所有观察到的运动模式中的行为活动比正常胎儿少的趋势。正常胎儿与IUGR胎儿在孕晚期手对头、手对脸、头后屈的相关性有统计学意义。在头和手运动的五个定性分类中，观察值的中位数分布具有统计学显著性差异（P < 0.05）。结论：通过4D超声获得的IUGR胎儿的最新数据是令人鼓舞的，可能会导致一个更有效的策略来评估出生前的发展。这项研究的结果可能鼓励未来使用4D超声对胎儿行为进行定量和定性评估，作为IUGR胎儿神经系统状况的可能指标。
Aim: To find out whether the quantity of fetal facial expression and quality of body movements can be used as an additional diagnostic criterion for prenatal brain impairment in fetuses with growth restriction.Subject and methods: A prospective study was conducted in 50 uncomplicated healthy women as control group with reliably dated pregnancies and 50 pregnant women with a growth restriced fetus as study group in the third trimester of pregnancy. 4D ultrasound observation is specially designed to assess whether functional brain impairment and fetal growth restriction had prenatally occurred by the utilization of several behavioral patterns.Results: The median value of all movement patterns in the normal fetuses differed from fetuses with intrauterine growth restriction (IUGR). Statistical evaluation revealed significant differences in the distribution of the movements between these groups (P < 0.05). We noted a tendency that IUGR fetuses have less behavioral activity than normal fetuses in all observed movement patterns. Correlation reached statistical significance between normal and IUGR fetuses in the third trimester in hand to head, hand to face and head retroflexion. Statistically significant differences could be shown in the distribution of the median values of observation over the five qualitative categories of head and hand movements (P < 0.05).Conclusions: Recent data on IUGR fetuses obtained by 4D sonography are stimulating and might result in a more effective strategy to assess development before birth. The results of this study may encourage future use of 4D ultrasound for quantitative and qualitative assessment of fetal behavior as possible indicators of the neurological condition in IUGR fetuses.