脐带盘绕指数超声评价与围产期结局及孕中期晚期的关系

Balameenakshi, G. Yuvabalakumaran
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摘要

目的:探讨超声检查结果与脐带盘绕指数之间的关系。研究设计:该预测研究于2021年4月至2021年9月在印度塞勒姆的Kirupananda varyar医学院和医学科学医院的Vinayaka特派团的OBG放射科进行。在研究中包括的60例患者中,单次妊娠直接阴道/ LSCS婴儿,无论是否平等,从妊娠中期到妊娠末期积极分娩。根据超声结果,将“脐带绕线指数”与妊娠等值、妊娠高血压(PIH)、妊娠糖尿病(GD)、1胎龄(周)、分娩方式、Apgar评分等不同围产儿标准进行关联计算。Fisher检验和卡方检验有助于确定参数发现的重要性。结果:目前超声评估结果显示,UCI与伪伪性线圈(UCI> 90%)有显著相关性,婴儿PIH (p值90%)与IUGR相关,是PIH和GDM等主要围产期结果的一部分。低卷绕和高卷绕的脐带,以及UCI <10%,都与围产期结果的Apgar评分相关,因此与UCI指数的相关性更大。关键词:高盘绕脐带,脐带盘绕指数,低盘绕脐带
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Umbilical Cord Coiling Index Sonographic Evaluation in its Relationship with Perinatal Outcome and Late Second Trimester
Objectives: To assess the relationship between perinatal results along with umbilical cord coiling index derived from sonographer solutions. Study Design: This predictive research was executed in the OBG department of radiology at Vinayaka missions Kirupananda Variyar medical college and hospital of Medical Sciences, Salem, India from April, 2021 to September, 2021. Of the 60 patients included in the study, single pregnancies with direct vaginal / LSCS babies, regardless of equality, with active delivery from the second trimester to final pregnancy. From the results of the ultrasound, the "umbilical cord coiling index" was correlated and calculated with different perinatal criteria such as equivalence, gestational hypertension (PIH), gestational diabetes (GD) and l gestational age (in weeks), Delivery method and Apgar score.  Fisher tests and Chi-squared were assist to determine the importance of the parameter findings. Results: The current results of the ultrasound evaluation show that the UCI provides a significant correlation with hypocrite coils (UCI> 90%), babies PIH (p-value <0.05), and GDM (p-value 0.044) Hypocoiled (UCI<10%) and Hypercoiled cords (p <0.05) were significantly related to the Apgar score (p less than 0.05). Conclusion: hypercoiled Coils or UCI> 90% is associated with IUGR and is part of primary perinatal results such as PIH and GDM. Both hypocoiled and hypercoied cords, and UCI <10%, linked to the Apgar score for the perinatal results, thus showing a greater correlation with the UCI index. Keywords: Hypercoiling umbilical cord, Umbilical cord coiling index, Hypocoiling umbilical cord  
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