H. Valensise, V. Bezzeccheri, G. Rizzo, A. Tranquilli, G. Garzetti, C. Romanini
{"title":"Doppler velocimetry of the uterine artery as a screening test for gestational hypertension","authors":"H. Valensise, V. Bezzeccheri, G. Rizzo, A. Tranquilli, G. Garzetti, C. Romanini","doi":"10.1097/00006254-199310000-00006","DOIUrl":null,"url":null,"abstract":"Doppler ultrasound was used to study the main uterine artery flow velocity waveforms in an unselected population of 272 primiparous women at 22 weeks' gestation. The incidences of subsequent complications were as follows: gestational hypertension alone, 4.4%; intrauterine fetal growth retardation alone, 4%; and gestational hypertension with intrauterine growth retardation, 3.6%. The flow velocity waveform was considered abnormal when the resistance index in the uterine artery was greater than 0.58. This identified 9.5% of the population as ‘at risk’ and predicted either of the above outcomes with an overall sensitivity of 74% (kappa index, 0.72). The sensitivity of prediction for gestational hypertension alone was 50% while for proteinuric gestational hypertension it was 88%. The best result was obtained for the prediction of pregnancies affected by both gestational hypertension and intrauterine growth retardation, where the sensitivity was 100%. Copyright © 1993 International Society of Ultrasound in Obstetrics and Gynecology","PeriodicalId":23453,"journal":{"name":"Ultrasound in Obstetrics and Gynecology","volume":"119 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"81","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ultrasound in Obstetrics and Gynecology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/00006254-199310000-00006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 81
子宫动脉多普勒测速作为妊娠期高血压的筛查试验
应用多普勒超声对272例妊娠22周的初产妇的子宫动脉流速波形进行了研究。随后并发症的发生率如下:妊娠期高血压单独,4.4%;仅宫内胎儿生长迟缓,4%;妊娠期高血压合并宫内发育迟缓占3.6%。当子宫动脉阻力指数大于0.58时,认为流速波形异常。该方法确定9.5%的人群为“高危人群”,并以74%的总体敏感性预测上述结果中的任何一种(kappa指数,0.72)。预测妊娠期高血压的敏感性为50%,而预测蛋白尿妊娠期高血压的敏感性为88%。对于同时伴有妊娠期高血压和宫内发育迟缓的妊娠预测结果最好,敏感性为100%。版权所有©1993国际妇产科超声学会
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