胎盘的数字成像分析

Vesna Ljubojević
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摘要

最近的研究表明,胎盘和脐带形态是可能与妊娠并发症有关的因素,如胎儿生长受限。最近,胎盘和脐带形态测量已使用数字图像分析进行。本研究的目的是利用数字图像分析确定胎盘的形态计量参数。材料和方法:采用Image analysis LAS V4.3软件对20例胎盘和脐带进行数字成像分析。结果:胎盘长度分别为191、77 mm±35、86 mm(平均值±标准差)。胎盘宽度为166,01 mm±19.01 mm。胎盘表面积为24495,13 mm2±7038,86 mm2。在分析的胎盘中,脐带插入胎盘的位置为中心(50%),外周(37.50%)和边缘(12.5%)。脐带离最近胎盘缘的平均距离为38.89 mm±28.39 mm。着床部位脐带直径21.16 mm±5.69 mm。距着床部位2厘米的脐带直径为12.36 mm±3.45 mm。结论:数字图像分析可以获得胎盘和脐带的客观形态学参数。本研究获得的人群胎盘和脐带形态计量参数与以往研究结果相当,为筛查方法的发展开辟了进一步的胎盘研究方向。
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DIGITAL IMAGING ANALYSIS OF THE PLACENTA
Recent studies indicate that placental and umbilical cord morphometry are the factors that may be associated with pregnancy complications, such as fetal growth restriction. Recently, placental and umbilical cord morphometry have been performed using digital image analysis. The aim of this study was to determine the morphometric parameters of placentas using digital image analysis. Material and methods: The digital imaging analysis of twenty placentas and umbilical cord were performed using Image Analysis LAS V4.3 software. Results: The length of the placentas was 191,77 mm ± 35,86 mm (mean ± standard deviation). The width of the placentas was 166,01 mm ± 19,01 mm. The placental surface area was 24495,13 mm2 ± 7038,86 mm2. The insertion of the umbilical cord to the placenta was central in 50 %, peripheral in 37,50 % and marginal in 12,5 % of analyzed placentas. The average distance of the umbilical cord insertion from the nearest placental margin was 38,89 mm ± 28,39 mm. The umbilical cord diameter at the insertion site was 21,16 mm± 5.69 mm. The diameter of the umbilical cord two centimeters from the insertion site was 12,36 mm ± 3,45 mm. Conclusion: Digital image analysis enables obtaining the objective morphometric parameters of the placenta and umbilical cord. The obtained morphometric parameters of the placenta and umbilical cord for our population are comparable to results of previous studies and open further placental research directions for the development of the screening method.
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