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重庆医科大学附属第一医院妇产科
纸质出版日期:2014,
网络出版日期:2014-03-30,
移动端阅览
赵雪婷, 漆洪波. 11~13+6孕周正常胎儿静脉导管血流频谱参数分析[J]. 陆军军医大学学报, 2014,36(6):604-607.
ZHAO XUETING, QI HONGBO. Correlation of ductus venosus Doppler velocimetric parameters with gestation period in fetus venosus between 11 and 13+6 weeks of gestation. [J]. Journal of army medical university, 2014, 36(6): 604-607.
赵雪婷, 漆洪波. 11~13+6孕周正常胎儿静脉导管血流频谱参数分析[J]. 陆军军医大学学报, 2014,36(6):604-607. DOI:
ZHAO XUETING, QI HONGBO. Correlation of ductus venosus Doppler velocimetric parameters with gestation period in fetus venosus between 11 and 13+6 weeks of gestation. [J]. Journal of army medical university, 2014, 36(6): 604-607. DOI:
目的 测量分析在11~13
+6
孕周正常胎儿静脉导管(ductus venosus
DV)各血流频谱参数与孕周的关系,建立各自参考曲线。 方法 选取11~13
+6
孕周在我科行超声检查的单胎孕妇904例,进行胎儿DV多普勒血流检查,分别测量心室收缩期血流峰值(S-wave)、心室舒张早期血流峰值(D-wave)、心房收缩期血流速度(A-wave)、平均时间最大血流速度(time-average maximum velocity
TAMXV)、搏动指数(pulstility index
PI)、前负荷指数(preload index
PLI)、心室收缩期血流峰值/心房收缩期血流速度(S/A)。随访妊娠结局,503名正常妊娠孕妇纳入研究。 结果 S-wave(
r
=0.237,
P
<
0.01)、D-wave(
r
=0.251,
P
<
0.01)、A-wave(
r
=0.217,
P
<
0.01)、TAMXV(
r
=0.272,
P
<
0.01)与孕龄显著正相关,PI(
r
=-0.159,
P
=0.006)与孕龄显著负相关,PLI(
r
=-0.096,
P
=0.098)、S/A(
r
=-0.089,
P
=0.128)与孕龄无相关性。 结论 孕早期胎儿DV血流速度随孕周增加而增加,PI随孕周增加而降低,PLI和S/A无显著变化。
Objective To investigate the correlation of ductus venosus (DV) Doppler velocimetric parameters with gestation period in women at 11 to 13
+6
weeks gestation in normal pregnancies. Methods A prospective observational study was performed
on 904 pregnant women who underwent ultrasound examination during 11 to 13
+6
weeks of gestation in our department from July 2011 to January 2013. The following variables of the ductus venosus were measured: peak velocity during ventricular systole (S-wave)
peak velocity during ventricular diastole (D-wave)
lowest forward velocity during atrial contraction (A-wave)
time-average maximum velocity (TAMXV)
pulsatility index(PI)
preload index (PLI)
and the ratio of maximum peak systolic velocity during ventricular systole to end-diastolic velocity during atrial contraction (S/A). Pregnant outcomes were followed up. Finally a total of 503 normal pregnancies out of 904 pregnant women were analyzed. Results There were significant increase for the S-wave (
r
=0.237
P
<
0.01)
D-wave (
r
=0.251
P
<
0.01)
A-wave (
r
=0.217
P
<
0.01)
TAMXV (
r
=0.272
P
<
0.01)
and significant decrease for the PI (
r
=-0.159
P
=0.006) with the advancing of gestational age in the group with normal outcomes. While
PLI (
r
=-0.096,
P
=0.098)and the ratio of S/A(
r
=-0.089,
P
=0.128) had no significant change during gestational age. Conclusion The S-wave
D-wave
A-wave
and TAMXV velocity are increased
while PI is decreased in ductus venosus indexes along with gestational age.
静脉导管多普勒超声搏动指数
ductus venosusDoppler velocimetrypulsatility indexultrasound
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