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Estimation of fetal age sonographically using umbilical cord diameter in second and third trimester

机译:通过超声检查在妊娠中期和中期的胎儿年龄

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Assessment of gestational age is paramount in obstetric care. This study was to evaluate the gestational age (GA) by measuring the Umbilical Cord Diameter (UCD) in the second and third trimester of pregnancy, and to compare the findings with the Femur Length (FL), Bi- parietal Diameter (BPD) and Last Menstrual Period (LMP). Fifty Sudanese Pregnant women underwent routine sonographic examination using 3.5MHz curve liner transducer; the sonographic cross-sectional area of the umbilical cord was measured in a plane adjacent to the insertion of the cord into the fetal abdomen. Maternal age and number of parity have been evaluated. The relation was statistically significant between UCD depth, width and GA. Gestational age can be predicted and can be depicted by the following equations: GA= (1.380 × UCD length +8.160) and GA= (1.545× UCD width+5.943). There was unsubstantial relation between UCD and maternal age. A linear relationship was found between parity and the UCD depth and width. Using paired T-test indicates that the GAs calculated from FL was accurate, there was no significant difference detected between the LMP age and the estimated one and UCD depth, width, but BPD showed significant difference at p = 0.005. Measuring UCD is useful for the assessment of gestational age. It has a role in obstetric care in the second and third trimester of pregnancy, and these equations can be used to estimate the gestational age instead of BPD and FL.
机译:在产科护理中,评估胎龄至关重要。本研究旨在通过测量妊娠中期和中期的脐带直径(UCD)来评估胎龄(GA),并将其与股骨长(FL),双顶径(BPD)和上次月经(LMP)。五十名苏丹孕妇使用3.5MHz曲线衬垫换能器进行了常规超声检查;在与脐带插入胎儿腹部相邻的平面上测量脐带的超声截面面积。产妇的年龄和胎次已得到评估。 UCD深度,宽度和GA之间的关系具有统计学意义。妊娠年龄可以预测,并可以用以下等式表示:GA =(1.380×UCD长度+8.160)和GA =(1.545×UCD宽度+5.943)。 UCD与产妇年龄之间没有实质性关系。发现奇偶校验与UCD深度和宽度之间存在线性关系。使用配对的T检验表明,根据FL计算的GA准确无误,LMP年龄与估算的GA和UCD的深度,宽度之间未检测到显着差异,但BPD在p = 0.005时显示出显着差异。测量UCD对评估胎龄很有用。它在妊娠中期和中期具有产科护理作用,这些方程式可以用来估计胎龄,而不是BPD和FL。

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