中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2015年
31期
2551-2553
,共3页
杨瑞琦%张嘉玲%朱崇磊%王飞%范丽梅
楊瑞琦%張嘉玲%硃崇磊%王飛%範麗梅
양서기%장가령%주숭뢰%왕비%범려매
能量多普勒超声%妊娠期高血压疾病%胎盘
能量多普勒超聲%妊娠期高血壓疾病%胎盤
능량다보륵초성%임신기고혈압질병%태반
Three-dimensional power Doppler ultrasonography%Pregnancy-induced hypertension%Placenta
目的 通过三维能量多普勒超声定量测量胎盘,评估妊娠期高血压疾病孕妇胎儿宫内的状态.方法 选取2012年11月至2014年8月间于吉林大学第二医院妇产科临床诊断为妊娠期高血压疾病孕妇50例作为观察组,随机选取相对应孕周孕妇50例作为对照组,应用三维能量多普勒超声定量测量两组胎盘血管化指数(VI)、血流指数(FI)和血管化-血流指数(VFI).对照组VI、FI、VFI行线性回归分析,计算出不同孕周的均值和95％可信区间.结果 两组胎儿的胎盘VI、FI、VFI检出率均为100％,对照组胎盘VI的线性回归方程为:Y =0.394X-5.358,R2=0.694,P＜0.05;FI的线性回归方程为:Y =0.801X ±5.61,R2 =0.807,P＜0.05;VFI的线性回归方程为:Y =0.225X-4.148,R2 =0.691,P＜0.05,观察组VI、FI、VFI不同孕周均值和对照组VI、FI、VFI不同孕周均值分别行t检验,均P ＜0.05.结论 对胎盘行三维能量多普勒检查,其VI、FI、VFI随孕周增加而增大,伴发妊娠期高血压疾病胎儿胎盘VI、FI、VFI测值和正常胎儿胎盘的测值间差异有统计学意义,三维能量多普勒超声定量测量胎盘具有自身优势,可对伴发妊娠期高血压疾病胎儿胎盘状态进行评估.
目的 通過三維能量多普勒超聲定量測量胎盤,評估妊娠期高血壓疾病孕婦胎兒宮內的狀態.方法 選取2012年11月至2014年8月間于吉林大學第二醫院婦產科臨床診斷為妊娠期高血壓疾病孕婦50例作為觀察組,隨機選取相對應孕週孕婦50例作為對照組,應用三維能量多普勒超聲定量測量兩組胎盤血管化指數(VI)、血流指數(FI)和血管化-血流指數(VFI).對照組VI、FI、VFI行線性迴歸分析,計算齣不同孕週的均值和95％可信區間.結果 兩組胎兒的胎盤VI、FI、VFI檢齣率均為100％,對照組胎盤VI的線性迴歸方程為:Y =0.394X-5.358,R2=0.694,P＜0.05;FI的線性迴歸方程為:Y =0.801X ±5.61,R2 =0.807,P＜0.05;VFI的線性迴歸方程為:Y =0.225X-4.148,R2 =0.691,P＜0.05,觀察組VI、FI、VFI不同孕週均值和對照組VI、FI、VFI不同孕週均值分彆行t檢驗,均P ＜0.05.結論 對胎盤行三維能量多普勒檢查,其VI、FI、VFI隨孕週增加而增大,伴髮妊娠期高血壓疾病胎兒胎盤VI、FI、VFI測值和正常胎兒胎盤的測值間差異有統計學意義,三維能量多普勒超聲定量測量胎盤具有自身優勢,可對伴髮妊娠期高血壓疾病胎兒胎盤狀態進行評估.
목적 통과삼유능량다보륵초성정량측량태반,평고임신기고혈압질병잉부태인궁내적상태.방법 선취2012년11월지2014년8월간우길림대학제이의원부산과림상진단위임신기고혈압질병잉부50례작위관찰조,수궤선취상대응잉주잉부50례작위대조조,응용삼유능량다보륵초성정량측량량조태반혈관화지수(VI)、혈류지수(FI)화혈관화-혈류지수(VFI).대조조VI、FI、VFI행선성회귀분석,계산출불동잉주적균치화95％가신구간.결과 량조태인적태반VI、FI、VFI검출솔균위100％,대조조태반VI적선성회귀방정위:Y =0.394X-5.358,R2=0.694,P＜0.05;FI적선성회귀방정위:Y =0.801X ±5.61,R2 =0.807,P＜0.05;VFI적선성회귀방정위:Y =0.225X-4.148,R2 =0.691,P＜0.05,관찰조VI、FI、VFI불동잉주균치화대조조VI、FI、VFI불동잉주균치분별행t검험,균P ＜0.05.결론 대태반행삼유능량다보륵검사,기VI、FI、VFI수잉주증가이증대,반발임신기고혈압질병태인태반VI、FI、VFI측치화정상태인태반적측치간차이유통계학의의,삼유능량다보륵초성정량측량태반구유자신우세,가대반발임신기고혈압질병태인태반상태진행평고.
Objective To evaluate the intrauterine state of fetuses with pregnancy-induced hypertension (PIH) through quantitative measurement of placenta by three-dimensional power Doppler ultrasonography,and to judge the value of three-dimensional power Doppler in PIH fetuses.Methods A total of 50 pregnant women with PIH in our hospital from November 2012 to August 2014 were enrolled into the observation group,while 50 cases were randomly selected into the control group to match the former group's gestational week (GA).The placental vascularization index (VI),flow index (FI) and vascularization flow index (VFI) were quantitatively measured by three-dimensional power Doppler ultrasonography in the two groups.SPSS 19 statistics software was used to do the linear regression for the above parameters.And those parameters of the two groups were compared by t test.P ＜ 0.05 was deemed significant.Results The detection ratio of fetal placental VI,FI and VFI of the whole 100 cases was 100％.The regression equation of V1 and GA was:Y =0.394X-5.358,R2 =0.694,P＜0.05;the regression equation of FI and GA was:Y =0.801X + 5.61,R2 =0.807,P ＜ 0.05;the regression equation of VFI and GA was:Y =0.225X-4.148,R2 =0.691,P＜0.05.t tests showed the differences of the means of placental VI,FI and VFI between the observation group and the eontrol group were statistically significant (all P ＜ 0.05).Conclusions VI,FI and VFI of placenta measured by three-dimensional power Doppler examination increase with the increase of GA,and the means of placental VI,FI and VFI in PIH patients are less than those in normal cases.Quantitative measurement of placenta with three-dimensional power Doppler ultrasound has its own advantages,and can evaluate the status of placenta of PIH fetus accurately.
