二维超声结合三维动力多普勒在预测早期妊娠巨大儿中的应用价值。

IF 1.2 4区 医学 Q3 ACOUSTICS Journal of Clinical Ultrasound Pub Date : 2024-11-08 DOI:10.1002/jcu.23885
Man Qin, Tong Zhu, Wenwen Wang, Lin Tang, Yanna Wang, Ling Chen
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引用次数: 0

摘要

目的研究二维超声联合三维功率多普勒(3D-PD)在预测孕早期巨大儿中的应用价值:选取2021年10月至2022年10月期间在石河子大学第一附属医院接受产前超声检查的171名孕11+0-13+6周的单胎孕妇作为研究对象。对他们进行随访直至分娩。记录并分析她们的一般数据和多普勒超声参数。比较两组超声数据的差异,并绘制接收器操作特征曲线(ROC)来评估参数:结果:与正常组相比,大畸形组的双顶径、胎盘体积和胎盘微血管指数明显增大(P 结论:大畸形组的胎盘微血管指数明显高于正常组:孕早期大畸形会导致胎盘血管灌注增加。血管化-血流指数(VFI)对大畸形有很高的预测价值(AUC = 0.826),二维超声结合三维-PD对早孕期大畸形的预测效率最高(AUC = 0.926)。未来的研究还应考虑结合母体和胎儿因素来预测巨大胎儿,以减少不良妊娠结局的发生。
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Application Value of Two-Dimensional Ultrasound Combined With Three-Dimensional Power Doppler in the Prediction of Macrosomia in Early Pregnancy.

Objective: To investigate the value of two-dimensional (2D) ultrasound combined with three-dimensional power Doppler (3D-PD) in the prediction of macrosomia in early pregnancy.

Methods: A total of 171 singleton pregnant women who underwent prenatal ultrasound examination at 11+0-13+6 weeks of gestation in the First Affiliated Hospital of Shihezi University from October 2021 to October 2022 were selected as the research subjects. They were followed up until delivery. Their general data and Doppler ultrasound parameters were recorded and analyzed. The differences in ultrasound data between the two groups were compared, and the receiver operating characteristic (ROC) curve was drawn to evaluate the parameters.

Results: Compared with the normal group, the macrosomia group had significantly higher biparietal diameter, placental volume, and placental microvascular index (p < 0.05).

Conclusions: Increased placental vascular perfusion occurs in macrosomia during early pregnancy. The vascularization-flow index (VFI) had a high predictive value for macrosomia (AUC = 0.826), and 2D ultrasound combined with 3D-PD had the best predictive efficiency for macrosomia in early pregnancy (AUC = 0.926). Future studies should also consider combining maternal and fetal factors to predict macrosomia, to reduce the occurrence of adverse pregnancy outcomes.

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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
248
审稿时长
6 months
期刊介绍: The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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