胃分裂超声波肠道特征表明对围产期结果的影响最小
Journal of neonatal-perinatal medicine
|December 3, 2023
概括
产前超声波测量胎儿肠道大小和厚度在胃胎怀孕显示了一些结果的统计学意义,但对产周结果的临床影响最小.
科学领域:
- 围产儿医学 围产儿医学
- 胎儿外科手术 胎儿外科
- 医疗成像医学成像
背景情况:
- 胃分裂通常涉及产前超声波测量肠扩张和壁厚度.
- 关于产前超声波肠道发现及其与产后结果的相关性,存在相互矛盾的数据.
- 评估子宫内肠道测量的预测价值对于管理胃分裂怀孕至关重要.
研究的目的:
- 评估通过产前超声波获得的胎儿肠道测量对胃的围产期结局的影响.
- 确定子宫内特定肠道特征与分娩参数之间的关联.
- 调查产前超声波检测结果在胃病中的临床意义.
主要方法:
- 回顾性队列研究,包括116个怀孕的胃 (2011-2020年).
- 对超声波的审查,以记录胎儿肠道测量 (扩张,壁厚,胃截面).
- 用于分析与产前和分娩结果的关联的物流和线性通用估计方程模型.
主要成果:
- 一些围产期结局,包括妊娠年龄在分娩和出生体重,达到统计学意义.
- 腹内肠扩张与早产和出生体重增加相关.
- 肠壁厚度和胃截面显示与非压力测试时间,动脉 (UA) pH,UA基赤字,Apgar分数和贝塔美沙龙的使用有关.
结论:
- 在宫内肠道测量在胃分裂怀孕表明统计学意义的某些围产期的结果.
- 然而,这些统计学上显著的发现的影响大小是最小的,这表明临床影响有限.
- 可能需要进一步的研究来澄清这些测量在指导管理中的临床实用性.
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