[Color Doppler sonography of peripheral and cerebral fetal vessels in comparison as prognostic criterion in predicting intrauterine distress].
Doppler sonography of the fetal descending aorta, renal artery, middle cerebral artery and umbilical artery in a population of 74 fetuses with a abdominal circumference below the fifth percentile of the reference limits were done. All fetuses were free from structural and chromosomal abnormalities. The pulsatility- and the resistance indices as well as the ratios between these indices from peripheral and cerebral vessels were calculated and correlated to the fetal distress. The measurement of the pulsatility index of the middle cerebral artery provided the best results in predicting the development of fetal distress. Better results were achieved by the use of ratios of pulsatility-indices of various vessels than by the examination of the vessels alone. Our results suggest the usefulness of the examination of the middle cerebral artery and their ratios compared to the renal artery.
Mai
R
R
Universitäts-Frauenklinik Würzburg.
Rempen
A
A
Kristen
P
P
D001013:Aorta, Thoracic / Q000502:physiology; D001158:Arteries / Q000502:physiology*; D002536:Cerebral Arteries / Q000502:physiology; D005260:Female; D005316:Fetal Distress / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D007231:Infant, Newborn; D011237:Predictive Value of Tests; D011247:Pregnancy; D011673:Pulsatile Flow; D012372:ROC Curve; D012077:Renal Artery / Q000502:physiology; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color; D014469:Umbilical Arteries / Q000502:physiology; D014655:Vascular Resistance
Farbdopplersonographie peripherer und cerebraler fetaler Gefässe im Vergleich als prognostisches Kriterium bei der Vorhersage einer intrauterinen Gefährdung.