胎儿生长过程的不同机制在胃和脑中存在
Sofia Amylidi-Mohr1,2, Melanie Wyss1, Daniel Surbek1
1Department of Obstetrics, University Hospital of Bern, University of Bern, Bern, Switzerland (Dr Amylidi-Mohr, Ms Wyss, Messrs Surbek and Raio, and Ms Mosimann).
AJOG global reports
|July 10, 2023
概括
患有胃的胎儿表现出生长障碍,与胎盘缺陷不同. 受腹影响的胎儿在出生体重和胎盘体重之间呈现出相关性,与胃分裂病例不同.
科学领域:
- 周围生理学 周围生理学
- 胎儿医学 胎儿医学
- 新生儿科学 新生儿科学
背景情况:
- 胃和腹是常见的胎儿腹壁缺陷,通常与怀孕年龄小的新生儿有关.
- 在这些条件下增长限制的确切原因尚未完全理解.
研究的目的:
- 为了研究胎盘的作用和胎盘体重与胎盘体重的比率,在胎儿有胃和脑.
- 分析与胎盘特征相关的生长限制模式.
主要方法:
- 追溯审查28个胃和24个腹病例 (2001-2020年).
- 排除其他异常或染色体异常的胎儿.
- 分析出生体重,胎盘体重和它们的比率,对妊娠年龄进行校正.
主要成果:
- 胃分裂组:怀孕年龄较小的婴儿的发病率较高 (46.7%),出生体重和胎盘体重百分比之间没有相关性.
- 腹腔组:怀孕年龄较小的婴儿发病率较低 (16.7%),出生体重和胎盘体重百分比之间有显著的相关性.
- 产后体重与胎盘体重的比率在胃和腹组之间有显著差异.
结论:
- 在胃化中,子宫内生长限制与典型的胎盘缺陷有所不同.
- 在胃和腹病例中的胎盘不表现出标准的与出生体重相关的全度量缩放.
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