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1. 南通大学附属如皋医院江苏省如皋市人民医院)产科
2. 南通大学附属如皋医院江苏省如皋市人民医院)妇产科
纸质出版日期:2021,
网络出版日期:2021-12-31,
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姚路, 丁燕燕, 马红云, 等. 胎盘弹性模量联合miR-10b在预测先兆子痫的应用[J]. 临床超声医学杂志, 2021,23(12).
Application of placental elastic modulus combined with miR-10b in predicting preeclampsia[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(12).
目的:探讨胎盘弹性模量联合miR-10b在预测先兆子痫的应用价值。方法:选取120例疑似先兆子痫孕妇的临床资料进行回顾性分析
选取时间为2018年2月至2020年3月
经金标准(24h尿蛋白定量)检查
确诊为子痫前期共35例(观察组)、正常孕妇85例(对照组)
且予以SWE技术和血清miR-10b检测
对比两组胎盘各部位的杨氏模量值、miR-10b表达量
评估胎盘杨氏模量值、miR-10b、两项联合诊断PE的AUC值、敏感度、特异度、约登指数
分析胎盘杨氏模量值与miR-10b相关性分析相关性。结果:观察组中央部位、边缘部位的胎盘杨氏模量值高于对照组
而miR-10b表达量低于对照组(P<0.05)。ROC曲线分析显示
中央部位杨氏模量值、边缘部位杨氏模量值、miR-10b、两项联合的AUC分别为(0.879、0.818、0.906、0.997
P<0.05)
敏感度分别为82.90%、71.40%、88.60%、100.00%
特异度分别为89.40%、100.00%、78.80%、98.80%
约登指数分别为0.723、0.714、0.674、0.988。Pearson相关性显示
中央部位、边缘部位的胎盘杨氏模量值与miR10b呈负相关(r=-0.289/-0.281
P<0.05)。 结论:胎盘弹性模量联合miR-10b用于预测先兆子痫具有较高的临床价值
两者相互弥补
能为临床诊断提供重要参考信息。
Objective: To explore the application value of placental elastic modulus combined with miR-10b in predicting pre-eclampsia. Methods: The clinical data of 120 pregnant women with suspected preeclampsia were selected for retrospective analysis. The selection time was from February 2018 to March 2020. After the gold standard (24h urine protein quantitative) examination
35 cases were diagnosed as preeclampsia. (Observation group) and 85 normal pregnant women (control group)
and were tested with SWE technology and serum miR-10b. The Young"s modulus and miR-10b expression of each part of the placenta of the two groups were compared to evaluate the placental Young"s modulus. The value
miR-10b
the AUC value
sensitivity
specificity
and Youden index of the two combined diagnosis of PE
analysis of the correlation between placental Young"s modulus and miR-10b. Results: The Young"s modulus of the placenta at the center and edge of the observation group was higher than that of the control group
while the expression of miR-10b was lower than that of the control group (P<0.05). ROC curve analysis showed that the Young"s modulus at the center
the Young"s modulus at the edge
miR-10b
and the combined AUC of the two were (0.879
0.818
0.906
0.997
P<0.05)
and the sensitivity was respectively 82.90%
71.40%
88.60%
100.00%
the specificity is 89.40%
100.00%
78.80%
98.80%
and the Youden index are 0.723
0.714
0.674
0.988
respectively. The Pearson correlation showed that the Young"s modulus of the placenta at the center and the edge was negatively correlated with miR10b (r=-0.289/-0.281
P<0.05). Conclusion: Placental elastic modulus combined with miR-10b has high clinical value for predicting pre-eclampsia. The two complement each other and can provide important reference information for clinical diagnosis.
胎盘弹性模量miR-10b预测先兆子痫
placental elastic modulusmiR-10bpredictionPreeclampsia
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