彩色多普勒超声检测稽留流产患者子宫动脉、螺旋动脉血流动力学的意义分析  

Significance of Color Doppler Ultrasound in Detecting Uterine Artery and Spiral Artery Hemodynamics in Patients with Missed Abortion

作　　者：赵蒙[1] ZHAO Meng(Department of Ultrasound,Zhengzhou Maternal and Child Health Care Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市妇幼保健院超声科,河南郑州450000

出　　处：《黑龙江医学》2022年第18期2220-2223,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨彩色多普勒超声检测稽留流产患者子宫动脉、螺旋动脉血流动力学的意义。方法:选择2020年1月—2020年12月郑州市妇幼保健院就诊的稽留流产患者100例作为研究组,选择同期来医院产检的100例健康孕妇作为对照组,均采用彩色多普勒超声检测其子宫动脉、螺旋动脉血流动力学参数。将100例稽留流产患者按照流产原因分为流产原因未明组43例、流产原因明确组57例,按不同孕周分为≤10周组39例、11~14周组51例、>14周组10例,按术后宫腔粘连情况分为宫腔粘连组68例、宫腔未粘连组32例。比较各组患者子宫动脉、螺旋动脉的阻力指数(RI)、搏动指数(PI)、平均血流速度(Vm)、舒张期最小血流速度(Vs)、收缩期峰值血流速度(Vd)。结果:研究组子宫动脉、螺旋动脉的RI、PI、Vd值高于对照组,Vs、Vm值小于对照组,差异有统计学意义(t=16.873、20.542、46.703、15.565、14.000、12.164、16.054、35.355、11.585、8.173,P<0.05)。流产原因未明组与流产原因明确组RI、PI、Vd、Vs、Vm值比较,差异无统计学意义(t=0.909、0.459、1.180、0.915、0.698、0.365、0.381、0.757、0.813、0.612,P>0.05)。孕周≤10周组、孕周11~14周组、孕周>14周组的子宫动脉、螺旋动脉RI、PI、Vd、Vs、Vm值比较,差异有统计学意义(F=16.082、51.076、19.047、9.620、8.389、15.237、25.762、38.774、5.109、15.232,P<0.05)。术后宫腔粘连组RI、PI、Vd值高于宫腔未粘连组,Vs、Vm值小于宫腔未粘连组,差异有统计学意义(t=5.145、5.009、4.128、3.933、7.195、9.608、12.382、20.174、4.119、3.151,P<0.05)。结论:经彩色多普勒超声检测子宫动脉、螺旋动脉血流动力学有助于评估稽留流产患者的病情及预后,可为稽留流产的诊治提供参考依据。Objective: To explore the significance of color Doppler ultrasound in detecting uterine artery and spiral artery hemodynamics in patients with missed abortion. Methods: 100 patients with missed abortion who visited the hospital from January 2020 to December 2020 were selected as the research group, and 100 healthy pregnant women who came to the hospital for obstetric examination during the same period were selected as the control group. Uterine artery and spiral artery hemodynamic parameters were detected by color Doppler ultrasound. The 100 patients with missed abortion were divided into 43 cases of unidentified abortion group and 57cases of definite abortion group according to the reasons of abortion. According to different gestational weeks, they were divided into ≤10 weeks group with 39 cases, 11-14 weeks group with 51 cases, and >14 weeks group with 10 cases. According to postoperative intrauterine adhesions, they were divided into the intrauterine adhesion group(68 cases) and the uterine nonadhesion group(32 cases).The resistance index(RI), pulsatility index(PI), mean blood flow velocity(Vm), minimum diastolic blood flow velocity(Vs), and systolic peak blood flow velocity(Vd) of uterine artery and spiral artery in each group were compared. Results: The RI, PI and Vd values of the uterine artery and spiral artery in the study group were higher than those in the control group, while the Vs and Vm values in the study group were lower than those in the control group, and the differences were statistically significant(t=16.873, 20.542, 46.703,15.565, 14.000, 12.164, 16.054, 35.355, 11.585, 8.173, P<0.05). There was no significant difference in RI, PI, Vd, Vs, and Vm between the unidentified cause of abortion group and the definite cause of abortion group(t=0.909, 0.459, 1.180, 0.915, 0.698, 0.365,0.381, 0.757, 0.813, 0.612, P>0.05). There were statistically significant differences in uterine artery, spiral artery RI, PI, Vd, Vs, and Vm values between the gestational weeks ≤10 weeks group, the gestational wee

关 键 词：稽留流产 彩色多普勒超声 子宫动脉 螺旋动脉 血流动力学 

分 类 号：R730.41[医药卫生—肿瘤]