超声和病理检查显示的妊娠晚期胎儿生长受限胎盘厚度、分级和异质性之间的关系及其与估计胎儿体重和新生儿结局的关系

IF 1.1 Q4 IMMUNOLOGY Immunopathologia Persa Pub Date : 2023-06-17 DOI:10.34172/ipp.2023.39471
F. Farahbod, E. Zarean, S. Khanjani, M. Moezzi, Fereshteh Mohammadizadeh, S. Shabanian
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引用次数: 0

摘要

引言:胎盘是影响胎儿体重的因素,是揭示妊娠病理变化的第一个器官。因此,胎盘超声检查结果影响胎儿生长受限(FGR)的诊断。目的:本研究探讨超声检查中胎盘厚度、分级和异质性与妊娠晚期FGR胎儿胎盘病理之间的关系及其对新生儿结局的影响。患者和方法:这项前瞻性观察性研究包括67名妊娠晚期FGR胎儿的孕妇,平均胎龄为34.52±2.65周,可能在未来7天内终止妊娠。超声检查胎盘厚度、分级和异质性,并与厚度和分级进行比较。在新生儿结局中也考虑了它们的影响,并对结果进行了分析。结果:在本研究中,出生前后胎盘厚度与胎盘重量、体重和Apgar评分、新生儿出生时动脉pH值和胎儿生长受限超声分级以及新生儿结局之间存在显著关系。结论:本研究表明,胎盘超声检查可以有效地确定胎盘和胎儿的最终重量,以及婴儿出生时的最终结果。因此,胎盘超声检查应与妊娠超声检查同时进行。
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Relationship between placental thickness, grading, and heterogeneity in fetal growth restriction in the third trimester of pregnancy by ultrasonography and pathology tests and their relationship with estimated fetal weight and neonatal outcome
Introduction: The placenta is the influencing factor on the fetal weight and is as the first organ that reveals the pathological changes of pregnancy. Therefore, placental ultrasound findings influence the diagnosis of fetal growth restriction (FGR). Objectives: This study examines the relationship between placental thickness, grading and heterogeneity during ultrasound and placental pathology in third trimester FGR fetuses and its effect on neonatal outcome. Patients and Methods: This prospective observational study included 67 pregnant women with FGR fetuses in the third trimester of pregnancy with the mean gestational age of 34.52 ± 2.65 weeks and possible termination of pregnancy within the next seven days. The placental thickness, grading, and heterogeneity in ultrasonography were examined and compared with thickness and grading. Their effect was also considered in neonatal outcome and the results were analyzed. Results: In this study, there is a significant relationship between the thickness of the placenta before and after birth with the weight of the placenta, weight and Apgar score, neonatal arterial pH at birth and fetal growth restriction grading in ultrasound, and neonatal outcome. Conclusion: This study shows that ultrasonic placental findings can be effective in determining the final weight of the placenta and fetus and also the final outcome of the baby at birth. Therefore, ultrasound of the placenta should be performed along with pregnancy ultrasound.
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CiteScore
1.70
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0.00%
发文量
65
审稿时长
3 weeks
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