The evaluation of umbilical arterial Doppler spectrum fractal characterization in obstetrics

Chang, C.; Zhang, J.; Zhang, Z.

Zhonghua Fu Chan Ke Za Zhi 33(3): 145-147

1998


ISSN/ISBN: 0529-567X
PMID: 10682480
Document Number: 486225
To evaluate the clinical value of fetal umbilical arterial Doppler spectrum fractal. 104 cases with 22-41 gestational weeks were included, and divided into two groups: normal pregnant group, 59 cases; abnormal pregnant group, 45 cases. Umbilical arterial Doppler spectrum were obtained by color Doppler ultrasound, then Doppler signal were transformed into computer through sound-frequency, and fractal were calculated. The fractal was 1.83 +/- 0.03 in normal pregnant group. The frequency of abnormal fractal was significantly higher in abnormal pregnant group than that in normal pregnant group (P < 0.001). Compared with the ratio of peak systolic to lowest diastolic flow velocity (S/D), the fractal was more sensitive than S/D ratio in abnormal pregnancy (P < 0.05). There were significant correlation between fractal and gestational weeks (r = 0.266). Fractal responses to complexity of umbilical arterial blood flow, and it is a better parameter than S/D ratio in monitoring abnormal umbilical arterial blood flow.

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