本文選題：經(jīng)陰道 + 三維能量多普勒超聲�。� 參考：《現(xiàn)代婦產(chǎn)科進(jìn)展》2016年08期

【摘要】：目的:探索三維能量多普勒超聲(3D-CPA)測(cè)定早孕期絨毛間隙循環(huán)血流變化預(yù)測(cè)先兆流產(chǎn)結(jié)局的臨床應(yīng)用價(jià)值。方法:隨機(jī)選取孕6~8周先兆流產(chǎn)患者62例,將患者按保胎結(jié)局分為繼續(xù)妊娠組、完全流產(chǎn)組。同期選取宮內(nèi)正常早孕32例作為對(duì)照組。行經(jīng)陰道彩色多普勒超聲檢測(cè)絨毛膜滋養(yǎng)動(dòng)脈血流的PS、ED、S/D、RI值,以及相關(guān)三維超聲血流參數(shù)(VI、FI、VFI),比較各組差異。結(jié)果:與對(duì)照組比較,繼續(xù)妊娠組的絨毛膜滋養(yǎng)動(dòng)脈ED上升,S/D、RI均下降;完全流產(chǎn)組的ED下降,S/D、RI均上升,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。與繼續(xù)妊娠組比較,完全流產(chǎn)組的ED顯著降低,S/D、RI均上升(P0.05)。繼續(xù)妊娠組和完全流產(chǎn)組的三維參數(shù)VI、VFI均高于對(duì)照組,完全流產(chǎn)組較繼續(xù)妊娠組增高明顯,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3組的PS、FI值比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:利用陰道3D-CPA探測(cè)孕6~8周先兆流產(chǎn)患者的絨毛間隙血流相關(guān)參數(shù)(ED、S/D、RI、VI、VFI),可以為綜合預(yù)測(cè)先兆流產(chǎn)結(jié)局提供有價(jià)值的參考信息。
[Abstract]:Objective: to explore the clinical application value of three dimensional energy Doppler ultrasound 3D-CPA in predicting the outcome of threatened abortion. Methods: 62 patients with threatened abortion at 6 weeks and 8 weeks of gestation were randomly selected and divided into continuous pregnancy group and complete abortion group according to the outcome of fetal preservation. 32 cases of normal intrauterine early pregnancy were selected as control group. The PSV EDV / DV RI values of choriotrophoblastic artery blood flow were measured by transvaginal color Doppler ultrasound, and the relevant parameters of three dimensional ultrasound flow were compared. Results: compared with the control group, the Ed of the choriotrophoblastic artery in the continued pregnancy group increased and the Ed / DNRI decreased in the group of complete abortion, and the difference was statistically significant (P 0.05). Ed in the complete abortion group was significantly lower than that in the continuous pregnancy group. The VII-VFI of the continuous pregnancy group and the complete abortion group were higher than that of the control group. The total abortion group was significantly higher than that of the continuous pregnancy group, and the difference was statistically significant (P 0.05). There was no significant difference between the two groups. Conclusion: using vaginal 3D-CPA to detect the relevant parameters of chorionic space blood flow in patients with threatened abortion at the 6th week and 8th week of gestation can provide valuable reference information for comprehensive prediction of the outcome of threatened abortion.
【作者單位】： 三峽大學(xué)醫(yī)學(xué)院;宜昌市中心人民醫(yī)院超聲科;三峽大學(xué)仁和醫(yī)院超聲科;
【分類號(hào)】：R714.21;R445.1

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