彩色多普勒检测胎儿脐带螺旋和妊娠结局分析
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摘要
目的探讨孕晚期产妇彩色多普勒超声检查中采取胎儿脐带螺旋指数诊断对妊娠结局的影响。方法选用2016年10月至2017年10月玉溪市人民医院纳入的98例孕晚期产妇,均实行彩色多普勒超声胎儿脐带螺旋指数诊断,参考脐带螺旋指数分为3组,将脐带螺旋指数低于0.17胎儿纳入A组,将脐带螺旋指数在0.17～0.37之间胎儿纳入B组,将脐带螺旋指数高于0.37胎儿纳入C组,观察统计3组基本情况。结果 B组孕晚期胎儿Apgar评分对比A组、C组更具优势,组孕晚期胎儿宫内发育迟缓、脐动脉收缩压与舒张压比值、胎儿窘迫发生情况对比A组、C组,差异有统计学意义(P<0.05)。结论彩色多普勒超声检测过程中应用胎儿脐带螺旋指数会对妊娠结局带来很大影响,值得应用。
Objective To investigate the effects of fetal umbilical cord spiral index on pregnancy outcome in maternal color Doppler ultrasonography. Methods 98 cases of late pregnancy mothers from October 2016 to October 2017 in our hospital were selected, and color Doppler ultrasound was used to diagnose the umbilical cord spiral index of the fetus. The reference umbilical cord spiral indexes were divided into three groups. Fetuses with the umbilical cord indexes less than 0.17 were included in group A, the fetuses with umbilical cord indexes between 0.17 and 0.37 were included in group B, and fetuses with the umbilical cord indexes higher than 0.37 were included in group C, and the statistics of the three groups were observed. Results Apgar scores of the fetus in the third trimester of pregnancy in group B were more advantageous than those in group A and C.Intrauterine growth retardation, ratio of umbilical artery systolic blood pressure and diastolic blood pressure,and incidence of fetal distress in the third trimester of pregnancy in group B were significantly different from those in group A and C(P < 0.05). Conclusions The use of fetal umbilical cord spiral index in color Doppler sonography has a great significance in pregnancy outcome and is worth applying.
Objective To investigate the effects of fetal umbilical cord spiral index on pregnancy outcome in maternal color Doppler ultrasonography. Methods 98 cases of late pregnancy mothers from October 2016 to October 2017 in our hospital were selected, and color Doppler ultrasound was used to diagnose the umbilical cord spiral index of the fetus. The reference umbilical cord spiral indexes were divided into three groups. Fetuses with the umbilical cord indexes less than 0.17 were included in group A, the fetuses with umbilical cord indexes between 0.17 and 0.37 were included in group B, and fetuses with the umbilical cord indexes higher than 0.37 were included in group C, and the statistics of the three groups were observed. Results Apgar scores of the fetus in the third trimester of pregnancy in group B were more advantageous than those in group A and C.Intrauterine growth retardation, ratio of umbilical artery systolic blood pressure and diastolic blood pressure,and incidence of fetal distress in the third trimester of pregnancy in group B were significantly different from those in group A and C(P < 0.05). Conclusions The use of fetal umbilical cord spiral index in color Doppler sonography has a great significance in pregnancy outcome and is worth applying.
引文
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[12]赵毅玲,王玉成,赵化婕,等.彩超测量期待螺距值及脐动脉血流S/D值的临床研究[J].牡丹江医学院学报,2009,30(3):62-64.
[13]宋学婷.胎心监测仪联合彩色多普勒超声检测胎儿窘迫的临床分析[J].中国医学装备,2016,13(5):110-112.
[2]刘爽.彩色多普勒超声检测妊娠中期胎儿大脑中动脉M1段不同节段血流动力学指标的临床研究[J].影像研究与医学应用,2018,2(12):42-43.
[3]吴静,赵凯英,林玉涓,等.彩色多普勒超声检测脐带螺旋指数与围产结局的相关性研究[J].临床超声医学杂志,2013,15(1):57-59.
[4]吴玮,田春芳,付丽娟,等,彩色多谱勒检测脐带螺旋程度及其对围产儿的影响的研究[J].中国医师杂志,2006,8(9):1156-1158.
[5]洪丽莉,吴庆梅,高艳,等.孕晚期胎儿彩色多普勒超声血流多参数异常与妊娠不良结局的关系[J].临床超声医学杂志,2017,19(6):432-432.
[6]张文军,谭静,周秘,等.多普勒超声技术评价妊娠晚期脐带绕颈胎儿主要动脉血流动力学参数预测胎儿窘迫的临床研究[J].医学影像学杂志,2016,26(6):1079-1082.
[7]徐东英,周跃华.脐带螺旋指数和脐动脉血流S/D值与胎儿窘迫的相关研究[J].中国妇产科临床杂志,2016,17(2):154-155.
[8]姚延峰.超声评价脐带螺旋异常与不良围生结局的研究进展[J].中国医学影像技术,2014,30(10):1591-1594.
[9]际冰,郭蕾,李春东.彩色多普勒超声检测胎儿脐血流在宫内窘迫诊断中的临床价值[J].影像研究与医学应用,2017,10(10):64-66.
[10]张文军,谭静,周秘,等.多普勒超声技术评价妊娠晚期脐带绕颈胎儿主要动脉血流动力学参数预测胎儿窘迫的临床研究[J].医学影像学杂志,2016,26(6):1079-1082.
[11]张海燕.产前检测螺旋指数与脐动脉S/D值及分娩结局的关系分析[J].社区医学杂志,2013,11(22):32-33.
[12]赵毅玲,王玉成,赵化婕,等.彩超测量期待螺距值及脐动脉血流S/D值的临床研究[J].牡丹江医学院学报,2009,30(3):62-64.
[13]宋学婷.胎心监测仪联合彩色多普勒超声检测胎儿窘迫的临床分析[J].中国医学装备,2016,13(5):110-112.