Abstract
Since Doppler examination where indicated has been introduced into antenatal care in Germany, it is important to evaluate the clinical significance of this diagnostic test in general routine use. For a screening procedure to be effective, there must be a high prevalence of the disease in question and the diagnostic test must be of high quality. A review of the literature shows the efficiency of Doppler ultrasound examination in the detection of pregnancies involving elevated risk of pre-eclampsia and intrauterine growth retardation. With reference to the Cochrane Database, differences in the results of Doppler ultrasound examination of the umbilical artery in non selected pregnant women and in high-risk pregnancies are shown.
Zusammenfassung
Mit der Einführung der Dopplersonographie in die Mutterschaftsvorsorge der BRD bei Vorliegen von Indikationen stellt sich die Frage der klinischen Bedeutung der Untersuchungsmethode bei genereller Anwendung. Vorbedingungen für ein effektives Screening sind hohe Prävalenz der in Frage kommenden Erkrankung und eine hohe Qualität des diagnostischen Tests. Eine Zusammenstellung der Literaturdaten zeigt die Effizienz der dopplersonographischen Untersuchung zur Risikoselektion für die Präeklampsie und die intrauterine Wachstumsretardierung. Die unterschiedliche klinische Bedeutung der Dopplersonographie der A. umbilicalis für das klinische Management wird anhand der Daten der „Cochrane Database” aufgezeigt.
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Literatur
Alfirevic Z, Neilson JP (1995) Doppler Ultrasonography in high-risk pregnancies: Systematic review with meta-analysis. Am J Obstet Gynecol 172: 1379–1387
Atkinson MW, Maher JE, Owen J, Hauth JC, Goldenberg RL, Copper RL (1994) The predictive value of umbilical artery Doppler studies for pre-eclampsia or fetal growth retardation in a preeclampsia prevention trial. Obstet Gynecol 83: 609–612
Bewley S, Cooper D, Campbell S (1991) Doppler investigation of uteroplacental blood flow resistance in the second trimester: a screening study for pre-eclampsia and uterine growth retardation. Br J Obstet Gynaecol 98:871–879
Bower S, Bewley S, Campbell S (1993) Improved prediction of pre-eclampsia by two-stage screening of uterine arteries using the early diastolic notch and color Doppler imaging. Obstet Gynecol 82: 78–83
Chan FY, Pun TC, Lam C, Khoo J, Lee CP, Lam YH (1995) Pregnancy screening by uterine artery Doppler velocimetry - which criterion performs best? Obstet Gynecol 85:596–602
Kürzl R (1993) Diagnostische Ergebnisse und ihre klinische Interpretation — oder: was Sie schon immer über Diagnostik nicht wissen wollten. Geburtshilfe und Frauenheilkunde 53:15–19
Mires GJ, Christie AD, Leslie J, Lowe E, Patel NB, Howie PW (1995) Are ‘notched’ uterine arterial waveforms of prognostic value for hypertensive and growth disorders of pregnancy? Fetal Diagn Ther 10:111–118
Mutterschaftsrichtlinien der KVB (1995) Erweiterung des Ultraschall- Screening in der Schwangerenvorsorge. Deutsch Ärzteblatt 92:233–235
North RA, Ferrier C, Long D, Townend K, Kincaid-Smith P (1994) Uterine artery Doppler flow velocity waveforms in the second trimester for the prediction of preeclampsia and fetal growth retardation. Obstet Gynecol 83:378–386
Panzer RJ, Black ER, Griner PF (eds) (1991) Diagnostic strategies for common medical problems. American college of physicians, Philadelphia
Todros T, Ferrazzi E, Arduini D {etalet al.} (1995) Performance of Doppler ultrasonography as a screening test in low risk pregnancies: Results of a multicentric study. J Ultrasound Med 14:343–348
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Wisser, J., Kurmanavicius, J., Huch, R. et al. Sinn und Unsinn eines Dopplerscreenings. PerinatalMedizin 9, 22–25 (1997). https://doi.org/10.1007/s001520050043
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DOI: https://doi.org/10.1007/s001520050043