彩色多普勒超声监测子宫螺旋动脉的临床意义  

The clinical value of the means of color Doppler ultrasound monitoring uterine spiral artery

作　　者：王芳[1] 王英华[1] 韩清[2] 杨永燕[1] 

机构地区：[1]山西医科大学第一临床医学院妇产科超声室,山西太原030001 [2]山西省太原市妇幼保健院超声室,山西太原030001

出　　处：《中国优生与遗传杂志》2009年第3期65-66,4,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的应用彩色多普勒技术及病理学方法检测子宫螺旋动脉,分析子宫螺旋动脉与胎儿窘迫的关系,为预测胎儿窘迫的发生提供一种有效手段。方法对足月正常孕妇及高危孕妇各30例应用彩色多普勒超声技术检测子宫螺旋动脉,并对结果进行记录和比较。结果①子宫螺旋动脉血流动力学参数:胎儿窘迫组较对照组PI值、R I值、S/D值增高,且有显著统计学差异(P<0.001)。②子宫螺旋动脉组织形态学改变:胎儿窘迫组较对照组螺旋动脉管病理改变阳性率增高,有显著统计学差异(P<0.001)。结论彩色多普勒超声技术检测子宫螺旋动脉血流可以预测胎儿窘迫的发生。Objective： Color doppler ultrasound technology and pathological method were used to detect uterinespiral artery, we further investigated the relationship een uterine spiral artery and fetal distress, then offer more dependable methods for forecasting fetal distress. Methods ： Cases, including 30 normal pregnant women and 30 high - risk pregnant women, were measured their uterine spiral artery, then recorded and compared them. Results ： ①the hemodynamics parameters of uterine spiral artery ： PI, RI, S/D in fetal distress group are higher than those in normal group （ P 〈0. 01 ）②the pathological change of uterine spiral artery： The positive rate in fetal distress group are higher than those in normal group （ P 〈0. 01 ）. Conclusion： To detect the uterine spiral artery flow by using color Doppler ultrasound can calculate the fetal distress.

关 键 词：胎儿窘迫 多普勒超声 子宫螺旋动脉 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]