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Doppler en obstetricia

La aplicación del ultrasonido Doppler en Obstetricia ha determinado un avance importante en el cuidado de la salud fetal. Para el correcto uso de esta metodología es necesario poseer un acabado conocimiento de los principios físicos y de instrumentación. Así mismo es necesaria la adecuada interpretación de los resultados en cada uno de los diferentes territorios vasculares que se exploren.

 

De tal manera la evaluación de las arterias uterinas constituye una herramienta de utilidad en el tamizaje de patologías del embarazo tales como preeclampsia, restricción de crecimiento intrauterino, desprendimiento de placenta y muerte fetal. El estudio de la forma de onda de velocidad de fl ujo de la arteria umbilical se utiliza rutinariamente en el manejo de embarazos de alto riesgo con sospecha de hipoxia y los cambios en la velocimetría de la arteria cerebral media son de utilidad en la evaluación de fetos con insuficencia placentaria y anemia fetal. Finalmente mediante el estudio Doppler del sistema venoso fetal se detectan estados más avanzados de hipoxia fetal generalmente acompañados de acidemia e insufi ciencia cardiaca.

 

En este artículo se revisan estas diferentes aplicaciones del Doppler en Obstetricia con el propósito de brindar al lector los principios elementales para su correcta aplicación.

Doppler en obstetricia
doppler en ostetricia.pdf
Documento Adobe Acrobat 4.6 MB

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