超音波胎児計測における基準値の作成
Standard Values of Ultrasonographic Fetal Biometry
篠塚憲男、升田春夫、香川秀之、武谷雄二
東京大学産科婦人科学教室
超音波医学 23(12) 877-888,1996
概要
The standard growth curves for assessment of fetal growth by ultrasound measurement
were established based on the analysis of a large number of cases. Fetal weight (EFW)
was estimated by applying these ultrasoound measurement paramemters : biparietal
diameter (BPD), femur length (FL), product of antero-posterior trunk diameter and
transverse trunk diameter (APTDxTTD), and abdominal circumference (AC). Each parameter
that confirmed gestational age during early pregnancy and deliverey at full term
on an appropriate for date was used. A total of 14159 measurements were taken from
3762 cases. Outlier data were excluded by probability analysis, and nominal distribution
of the data at each gestational week was confirmed. To maka clinical application
of the growth standard easier, we calculated regression formulas, that estimate mean
value +- SD of each measurement as a function of gestational age, and gestational
age as a function of measurement value. Our mathematical growth curve made it possible
to assess fetal growth simply from the deviation of the measurement value form the
mean. Use of the trendgram deviation value of each measurement should make the fetal
growth pattern easier to use in clinical assessment, especially in cases of IUGR.
Keywords estimated fetal weight, fetal growth, growth curve,
ultrasound measurement
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