对胎儿生长限制的胎儿脏超声波参数的全面评估
Qinxiao Wang1, Liang Wang2, Mingzi Hu1
1Department of Ultrasound, Wenzhou People's Hospital, Wenzhou, 325000, China.
Heliyon
|September 17, 2024
概括
胎儿生长限制 (FGR) 与动脉血流和体积比率的改变有关. 像RV/WEEK和RI这样的超声波参数显示了早期FGR查的诊断潜力,改善了临床管理.
科学领域:
- 产周医学 产周医学
- 胎儿成像检查 胎儿成像检查
- 脏生理学 脏生理学
背景情况:
- 胎儿生长限制 (FGR) 影响子宫内发育,并可能导致新生儿不良后果.
- 脏超声波参数为胎儿健康和胎盘功能提供了洞察力.
研究的目的:
- 为了研究患有FGR的胎儿和正常发育的胎儿之间脏超声波参数的差异.
- 确定用于早期FGR检测和临床管理的关键超声波指标.
主要方法:
- 在45个FGR胎儿和65个对照中比较脏超声波参数 (例如PSV,EDV,TAMX,电阻指数,RV/WEEK,RV/EFW,VI,FI,VFI).
- 所有参数评估的双边脏的使用平均值.
- 进行ROC曲线分析以评估诊断疗效.
主要成果:
- 与对照组相比,FGR胎儿表现出明显较低的胎儿动脉PSV,EDV,TAMX,RV/WEEK,RV/EFW,VI和VFI.与对照组相比,FGR胎儿表现出明显较低的胎儿动脉PSV,EDV,TAMX,RV/WEEK,RV/EFW,VI和VFI.
- 在FGR胎儿中,动脉阻力指数 (S/D,PI,RI) 显著提高.
- RV/WEEK和RI显示出更高的个体诊断效率,组合参数产生最佳结果.
结论:
- 综合胎儿脏超声波评估有助于早期查和诊断FGR.
- 识别特定的超声波参数变化可以为FGR管理的临床决策提供信息.
- 改进的诊断能力可以在FGR病例中导致更好的新生儿出生结果.
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