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静脉管道多普勒在围产期结局中的预测价值胎儿生长限制

Branka Cancarevic Djajic^1,2, Dragica Draganovic², Tanja Milic-Radic¹

¹Obstetrics and Gynecology, University Clinical Centre of the Republic of Srpska, Banja Luka, BIH.

|October 23, 2025

概括

静脉管道 (DV) 多普勒测速仪准确地预测了患有FGR的胎儿的酸状态,阿帕格分数和新生儿病率. 病理性DV多普勒发现表明严重的妥协,指导及时干预,以改善周围产生的结果.

科学领域:

周围生理学周围生理学
胎儿医学胎儿医学
诊断性的超声波检查

背景情况:

胎儿生长限制 (FGR) 与显著的围产期发病率和不良的神经结果有关.
目前的监测方法,如动脉 (UA) 和中脑动脉多普勒,在反映中央血液动力学状态方面存在局限性.

研究的目的:

为了评估输血管 (DV) 多普勒测速仪对胎儿酸状态,阿帕格分数,新生儿发病率和FGR中的神经结果的预测值.
评估DV多普勒在识别即将发生的心脏衰竭和指导围产期管理方面的临床意义.

主要方法:

对具有和没有FGR的怀孕进行了回顾性队列研究.
评估UA和DV多普勒波形,将DV分类为正常或病态 (缺席/反转A波).
对新生儿结局的分析,包括动脉pH值,阿帕格得分,综合新生儿发病率和神经状态.

主要成果:

发病性DV多普勒在15.4%的FGR胎儿中被发现,100%的胎儿经历了酸化 (pH <7.20).
患有病态DV的新生儿与正常DV的新生儿相比,Apgar分数显著降低,新生儿发病率 (100%) 和神经损伤率更高.
正常的DV发现与显著较低的酸性疾病和发病率有关.

结论:

在FGR监测中,DV多普勒速度测量提供了超出动脉多普勒的关键,可操作的信息.
通过DV多普勒识别静脉失补偿可以促进及时分娩,平衡过早产生的风险与缺氧缺血性损伤的风险.
将DV多普勒集成到常规监测中可以优化患有FGR的胎儿的围产期护理途径.

关键词:

这是一种酸性症.阿普加尔评分是什么意思多普勒超声波是什么意思管道静脉管道 (ductus venosus) 是一个静脉管道.胎儿生长限制限制胎儿生长围产期的结果.

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