首页> 外文期刊>Revista colombiana de obstetricia y ginecologie >Marcadores ecográficos de corioamnionitis e infección fetal in utero: Revisión de la literatura
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Marcadores ecográficos de corioamnionitis e infección fetal in utero: Revisión de la literatura

机译:子宫绒毛膜羊膜炎和胎儿感染的超声标记:文献综述

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Introduction: A diagnosis of chorioamnionitis is based on clinical criteria which only manage 60% sensitivity and have little usefulness in predicting fetal compromise. Ultrasound emerges as a useful diagnostic alternative. An impact might be made on perinatal morbimortality by improving diagnosis through the search for echographic markers of fetal infection, thereby enabling early intervention in pregnant women at risk of fetal compromise, especially regarding subclinical chorioamnionitis. This review was aimed at providing evidence supporting an association between ultrasound’s echographic findings and the presence of chorioamnionitis in in utero (congenital) fetal infection. Materials and methods: A review of the existing literature was made in medline, ovid, ebsco, ProQuest, lilacs and scielo databases from January 1985 to October 2012. Original research and review articles were included. Results: Cervical length shortening, the presence of sludge, oligohydramnios and thymus involution are the markers which have been shown to have the greatest association with intra-amniotic infection. Conclusions: Ultrasound is a tool to be considered when diagnosing in utero maternal and fetal infection.
机译:简介:绒毛膜羊膜炎的诊断是基于临床标准,该标准仅能控制60%的敏感性,并且在预测胎儿危害方面几乎没有用。超声波是一种有用的诊断替代方法。通过寻找胎儿感染的超声检查标志物来改善诊断,可能会对围产期死亡率产生影响,从而可以早期干预有胎儿危害风险的孕妇,特别是在亚临床绒毛膜羊膜炎方面。这篇综述的目的是提供证据,证明子宫内(先天性)胎儿感染的超声回波检查结果与绒毛膜羊膜炎之间存在关联。材料和方法:1985年1月至2012年10月在medline,ovid,ebsco,ProQuest,丁香和scielo数据库中对现有文献进行了综述。其中包括原始的研究和综述文章。结果:宫颈长度缩短,污泥的存在,羊水过少和胸腺退化是与羊水内感染最大相关的标志。结论:超声是诊断子宫内母婴感染的工具。

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