Abstract：
The aim of this systematic review was to examine the available scientific literature on ultrasound-detected fetal liver changes in pregnant women with gestational diabetes mellitus (GDM) and to explore the potential of these markers to inform clinical management and improve outcomes. A total of four articles investigating fetal liver changes in GDM pregnancies were selected. The studies varied in methodology, gestational age studied, and diagnostic criteria for GDM. Fetal liver indices, such as fetal liver length and fetal liver volume, emerged as potential markers for identifying GDM and predicting adverse outcomes. Studies suggest an association between fetal liver changes and GDM, with implications for both maternal glycemic control and fetal metabolic adaptation. Variability in study methodology highlights the need for standardized approaches to assess fetal hepatic indices and their correlation with GDM outcomes.
摘要：
这项系统评价的目的是检查有关妊娠糖尿病（GDM）孕妇超声检测胎儿肝脏变化的现有科学文献，并探讨这些标志物在临床管理和改善结局方面的潜力。总共选择了四篇研究GDM妊娠中胎儿肝脏变化的文章。这些研究的方法各不相同，研究了胎龄，和GDM的诊断标准。胎儿肝脏指数,如胎儿肝脏长度和胎儿肝脏体积，成为识别GDM和预测不良结局的潜在标志物。研究表明胎儿肝脏变化与GDM之间存在关联，对母体血糖控制和胎儿代谢适应都有影响。研究方法的变异性突出了需要标准化方法来评估胎儿肝脏指数及其与GDM结局的相关性。
