彩色多普勒超声仪检测帆状胎盘产妇超声参数与新生儿结局的相关性  

Correlation of the ultrasound parameters of color Doppler ultrasound in detecting delivery women with velamentous placenta and neonatal outcome of them

作　　者：陈星[1] 王龙 梁宏伟[2] 刘艳华[1] CHEN xing;WANG long;LIANG Hong-wei(Department of Medical Ultrasound,Tangshan Maternal and Child Health Care Hospital,Tangshan 063000,China;不详)

机构地区：[1]唐山市妇幼保健院医学超声科,河北唐山063000 [2]唐山市妇幼保健院CT室,河北唐山063000

出　　处：《中国医学装备》2023年第8期79-83,共5页China Medical Equipment

基　　金：河北省医学科学研究课题计划(20171329)“不同孕周超声观测胎儿附属物异常表现与胎儿各系统异常表现的相关性分析”。

摘　　要：目的:探讨彩色多普勒超声检测帆状胎盘产妇超声参数与新生儿结局的相关性。方法:选取医院收治的80例帆状胎盘产妇,将其纳入观察组,另选在医院进行正常产检的240例产妇纳入正常对照组,比较两组新生儿结局、脐动脉血流参数以及胎儿心功能参数差异;采用受试者工作特征(ROC)曲线下面积(AUC)分析彩色多普勒超声参数预测新生儿不良结局的价值。结果:观察组新生儿不良结局发生率为28.75%(23/80),明显高于正常对照组的2.92%(7/240),观察组新生儿不良结局中小于胎龄儿、胎儿畸形、早产、死胎及阿普加Apgar评分≤7分的比例明显高于对照组,差异有统计学意义(x^(2)=51.388,x^(2)=19.819,x^(2)=50.347,x^(2)=2.683,x^(2)=20.684;P<0.05)。观察组产妇脐动脉阻力指数(RI)、搏动指数(PI)、收缩期血流速度与舒张期血流速度(S/D)和心功能做功指数(MPI)分别为(0.90±0.14)、(0.87±0.13)、(3.52±0.68)和(0.49±0.04),明显高于正常对照组,差异有统计学意义(t=15.459,t=15.168,t=6.835,t=9.741;P<0.05)。观察组中新生儿不良结局脐动脉S/D、MPI分别为(3.91±0.71)和(0.52±0.05),明显高于非不良结局,差异有统计学意义(t=2.870,t=2.823;P<0.05)。脐动脉S/D和MPI预测帆状胎盘产妇新生儿不良结局的AUC分别为0.657和0.737。结论:彩色多普勒超声检测帆状胎盘产妇超声参数S/D和MPI在新生儿不良结局中有较好的预测价值。Objective:To explore the correlation between ultrasound parameters of color Doppler and neonatal outcome when detected delivery women with velamentous placenta.Methods:A total of 80 delivery women with velamentous placenta who admitted to hospital were selected and they were included in the observation group.Another 240 delivery women who underwent normal prenatal examination at the hospital were included in the control group.The differences in the neonatal outcomes,the parameters of umbilical artery blood flow and the parameters of fetal heart function between the two groups were compared,and the value of the parameters of color Doppler ultrasound was analyzed in predicting adversely neonatal outcomes.Results:The incidence of adverse neonatal outcome in the observation group was 28.75%(23/80),which was significantly higher than 2.92%(7/240)in the control group.The proportions of“the age of infant was smaller than the gestational age”,fetal malformations,preterm delivery,stillbirth and“Apgar score≤7”of the adverse neonatal outcomes in the observation group were significantly higher than those in the control group,with a statistically significant difference(x^(2)=51.388,x^(2)=19.819,x^(2)=50.347,x^(2)=2.683,x^(2)=20.684,P<0.05),respectively.The resistance index(RI)of umbilical artery,pulsatile index(PI),systolic/diastolic blood flow velocity(S/D)and myocardial performance index(MPI)of the observation group were respectively(0.90±0.14),(0.87±0.13),(3.52±0.68)and(0.49±0.04),which were significantly higher than those of control group,with statistically significant differences(t=15.459,t=15.168,t=6.835,t=9.741,P<0.05).In the observation group,the S/D and MPI of umbilical artery of the adverse outcomes were respectively(3.91±0.71)and(0.52±0.05),which were significantly higher than those of nonadverse outcomes,with statistically significant differences(t=2.870,t=2.823,P<0.05).The areas under curve(AUCs)of the receiver operating characteristic(ROC)curves of S/D and MPI of umbilical artery were respectivel

关 键 词：帆状胎盘 彩色多普勒超声 新生儿结局 预测价值 相关性 

分 类 号：R445.1[医药卫生—影像医学与核医学]