阴道超声三维成像测量羊膜囊对早期妊娠结局的预测价值分析  

Predictive Value of the Measurement of Amniotic Sac by Three Dimensional Vaginal Ultrasound Imaging on the Outcome of Early Pregnancy

作　　者：王瑶[1] 邱艺琼 郑泽锋[1] 马晓芹[1] WANG Yao;QIU Yiqiong;ZHENG Zefeng;MA Xiaoqin(The Third People’s Hospital of Huizhou City,Huizhou 516001,China)

机构地区：[1]广东省惠州市第三人民医院,广东惠州516001

出　　处：《中国医学创新》2020年第18期121-124,共4页Medical Innovation of China

基　　金：2017年度惠州市医疗卫生类科技计划项目(2017Y125)。

摘　　要：目的:探讨阴道超声三维成像测量羊膜囊对早期妊娠结局的预测价值.方法:回顾性分析2017年6月-2019年4月在本院进行阴道超声检查的200例孕妇的临床资料.胚胎发育正常者作为对照组(n=119),将妊娠10~28周出现自然流产或胚胎停育的异常妊娠者作为研究组(n=81).两组均进行阴道超声三维成像技术检测.比较两组在不同孕周妊娠囊、卵黄囊及羊膜囊大小,观察研究组妊娠第10周的羊膜囊形态特征.结果:研究组妊娠第8、10周卵黄囊平均内径均高于对照组,而第10周的妊娠囊平均内径低于对照组(P<0.05);研究组妊娠第6、8、10周羊膜囊均小于对照组(P<0.05).结论:阴道超声三维成像能够对羊膜囊大小进行有效检测,对羊膜囊的位置以及形态进行准确显示,为早期妊娠结局的预测提供依据,进而有助于采取合理、有效的应对措施.Objective:To explore the predictive value of measurement of amniotic sac by three dimensional vaginal ultrasound imaging on the outcome of early pregnancy.Method:The clinical data of 200 pregnant women underwent vaginal ultrasound examination in our hospital from June 2017 to April 2019 were retrospectively analyzed.The pregnant women with normal embryo development as the control group(n=119),and the pregnant women with abnormal pregnancy with spontaneous abortion or embryo stop at 10-28 weeks of gestation as the study group(n=81).Both groups were detected by three dimensional vaginal ultrasound imaging.The size of amniotic sac,yolk sac and amniotic sac in different gestational weeks were compared between the two groups,and the morphological characteristics of amniotic sac at the 10th week of gestation were observed.Result:The mean inner diameter of yolk sac in the study group at the 8 and 10th week of gestation were higher than those of the control group,while the mean inner diameter of the pregnancy sac in the study group at 10 week of gestation was lower than that of the control group(P<0.05).The amniotic sac of the study group at the 6,8th and 10th week of gestation was smaller than that of the control group(P<0.05).Conclusion:Three dimensional vaginal ultrasound imaging can effectively detect the size of the amniotic sac,and accurately display the position and shape of the amniotic sac,so as to provide basis for the prediction of the outcome of early pregnancy,and thus help to take reasonable and effective countermeasures.

关 键 词：阴道超声三维成像 羊膜囊 早期妊娠结局 

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