胎盘声形态外观和胎儿与母亲在Fontan循环中的结果
Elena Jost1, Ulrich Gembruch1, Martin Schneider2
1Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.
Journal of clinical medicine
|September 14, 2024
概括
患有丰坦血流的女性怀孕的并发症率很高. 连续超声波可以通过检测特定的胎盘异常和多普勒检测结果来帮助识别高风险妊娠.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗成像医学成像
背景情况:
- 患有Fontan循环的女性怀孕率正在增加.
- 喷泉循环与高的孕产妇和胎儿并发症率有关.
- 改变的血液动力学会影响胎盘的发育和功能.
研究的目的:
- 描述胎盘声形学和多普勒检测结果在怀孕与Fontan循环.
- 为了将超声波发现与组织病理学和怀孕结果相关联.
- 为了确定这些高风险怀孕中并发症的潜在预测因素.
主要方法:
- 在妇女怀孕的回顾性分析与Fontan循环 (2018-2023).
- 连续的超声检查包括胎盘形态学和多普勒研究.
- 对宏观和体病学的胎盘发现的审查.
主要成果:
- 观察到高比例的早产 (83%),胎儿生长限制 (66%) 和出血 (66%).
- 胎盘经常显示出加厚的球状形状,不均的回声纹理和低音湖.
- 子宫胎盘血流指数正常; 组织病理学揭示了纤维素沉积和状异常.
结论:
- 患有芬坦血流的女性怀孕会带来显著的产科和周产期风险.
- 胎盘外观的连续超声波评估和多普勒研究可以帮助早期识别风险妊娠.
- 需要进一步的研究,以建立可靠的并发症预测指标.
相关概念视频
Fetal Circulation
860
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
860
Development of Blood Vessels
547
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
547
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K


