PREDICTIVE VALUE OF PLEURAL EFFUSIONS IN FETAL HYDROPS

被引:14
作者
SMOLENIEC, J [1 ]
JAMES, D [1 ]
机构
[1] ST MICHAELS HOSP,DEPT OBSTET & GYNAECOL,BRISTOL,AVON,ENGLAND
关键词
FETAL HYDROPS; PLEURAL EFFUSIONS; FETAL CARDIAC DISEASE; FETAL ANEMIA;
D O I
10.1159/000264213
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Twenty-eight cases of fetal hydrops are reported. A diverse aetiology was found. Fetal therapy was undertaken in 12 (42.9%). The overall survival rate was 36.8% (excluding elective terminations). However, when normal fetuses presenting from 20 weeks were considered, the survival rate was 64%. The results were combined with those of two other studies (making a total of 182 cases with fetal hydrops) to ascertain the value of pleural effusions in predicting outcome in such cases. In the 143 cases that did not end in a therapeutic termination of pregnancy, fetal pleural effusions predicted death (fetal or neonatal) with a sensitivity of 67%, a specificity of 53%, a positive predictive power of 68%, a negative predictive power of 52% and an overall accuracy of 62%.
引用
收藏
页码:95 / 100
页数:6
相关论文
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