{"title":"妊娠三个月正常水肿、特发性少水肿和多水肿胎儿肾动脉血流动力学的比较评估","authors":"Deepak Jain, Rajesh Kumar Singh, Jyoti Jaiswal, Pranjali Mittal, Satyabhuwan Singh Netam","doi":"10.1002/ird3.37","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To compare the renal artery (RA) flow indices (RI and PI) among normohydramnios, idiopathic oligohydramnios, and polyhydramnios and determine applicability of fetal RA Doppler indices in predicting the pregnancy outcome.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Total 106 3rd trimester pregnant patients were divided into cases and controls based on amniotic fluid index. Routine antenatal and color Doppler (including kidneys) ultrasound was performed for all patients in this study. The postnatal follow-up was done, and the pregnancies having poor outcomes in terms of NICU admissions were assessed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Statistically significant differences were noted when comparing RI and PI values of normohydramnios (0.91 ± 0.04 and 2.38 ± 0.21, respectively) with oligohydramnios (1.02 ± 0.07 and 2.99 ± 0.38, respectively) and polyhydramnios (0.90 ± 0.12 and 2.7 ± 0.84, respectively) independently (<i>p</i> value < 0.05). Our study demonstrated an increase in NICU admissions in the fetus having raised values of RI and PI.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Fetal RA RI and PI can be used as an antenatal predictor for the pregnancy outcome associated with idiopathic oligohydramnios; however, fetal RA PI was found to be a better predictor for the pregnancy outcome than fetal RA RI value in our study.</p>\n </section>\n </div>","PeriodicalId":73508,"journal":{"name":"iRadiology","volume":"1 4","pages":"285-293"},"PeriodicalIF":0.0000,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ird3.37","citationCount":"0","resultStr":"{\"title\":\"Comparative evaluation of fetal renal artery hemodynamics in normohydramnios, idiopathic oligohydramnios and polyhydramnios in third trimester pregnancy\",\"authors\":\"Deepak Jain, Rajesh Kumar Singh, Jyoti Jaiswal, Pranjali Mittal, Satyabhuwan Singh Netam\",\"doi\":\"10.1002/ird3.37\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To compare the renal artery (RA) flow indices (RI and PI) among normohydramnios, idiopathic oligohydramnios, and polyhydramnios and determine applicability of fetal RA Doppler indices in predicting the pregnancy outcome.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Total 106 3rd trimester pregnant patients were divided into cases and controls based on amniotic fluid index. Routine antenatal and color Doppler (including kidneys) ultrasound was performed for all patients in this study. The postnatal follow-up was done, and the pregnancies having poor outcomes in terms of NICU admissions were assessed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Statistically significant differences were noted when comparing RI and PI values of normohydramnios (0.91 ± 0.04 and 2.38 ± 0.21, respectively) with oligohydramnios (1.02 ± 0.07 and 2.99 ± 0.38, respectively) and polyhydramnios (0.90 ± 0.12 and 2.7 ± 0.84, respectively) independently (<i>p</i> value < 0.05). Our study demonstrated an increase in NICU admissions in the fetus having raised values of RI and PI.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Fetal RA RI and PI can be used as an antenatal predictor for the pregnancy outcome associated with idiopathic oligohydramnios; however, fetal RA PI was found to be a better predictor for the pregnancy outcome than fetal RA RI value in our study.</p>\\n </section>\\n </div>\",\"PeriodicalId\":73508,\"journal\":{\"name\":\"iRadiology\",\"volume\":\"1 4\",\"pages\":\"285-293\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ird3.37\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"iRadiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/ird3.37\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"iRadiology","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ird3.37","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的 比较正常羊水过多症、特发性少羊水症和多羊水症的肾动脉（RA）血流指数（RI 和 PI），并确定胎儿 RA 多普勒指数在预测妊娠结局中的适用性。 方法 根据羊水指数将 106 名怀孕三个月的孕妇分为病例组和对照组。本研究对所有患者进行了常规产前和彩色多普勒（包括肾脏）超声检查。进行了产后随访，并评估了在新生儿重症监护室住院方面结局不佳的孕妇。 结果 比较正常水妊娠（RI 和 PI 值分别为 0.91 ± 0.04 和 2.38 ± 0.21）与少水妊娠（RI 和 PI 值分别为 1.02 ± 0.07 和 2.99 ± 0.38）和多水妊娠（RI 和 PI 值分别为 0.90 ± 0.12 和 2.7 ± 0.84），发现两者之间存在明显的统计学差异（P 值为 0.05）。我们的研究表明，RI 和 PI 值升高的胎儿入住新生儿重症监护室的比例增加。 结论 胎儿 RA RI 和 PI 可作为特发性少尿畸形妊娠结局的产前预测指标；然而，在我们的研究中发现，胎儿 RA PI 比胎儿 RA RI 值更能预测妊娠结局。
Comparative evaluation of fetal renal artery hemodynamics in normohydramnios, idiopathic oligohydramnios and polyhydramnios in third trimester pregnancy
Objective
To compare the renal artery (RA) flow indices (RI and PI) among normohydramnios, idiopathic oligohydramnios, and polyhydramnios and determine applicability of fetal RA Doppler indices in predicting the pregnancy outcome.
Methods
Total 106 3rd trimester pregnant patients were divided into cases and controls based on amniotic fluid index. Routine antenatal and color Doppler (including kidneys) ultrasound was performed for all patients in this study. The postnatal follow-up was done, and the pregnancies having poor outcomes in terms of NICU admissions were assessed.
Results
Statistically significant differences were noted when comparing RI and PI values of normohydramnios (0.91 ± 0.04 and 2.38 ± 0.21, respectively) with oligohydramnios (1.02 ± 0.07 and 2.99 ± 0.38, respectively) and polyhydramnios (0.90 ± 0.12 and 2.7 ± 0.84, respectively) independently (p value < 0.05). Our study demonstrated an increase in NICU admissions in the fetus having raised values of RI and PI.
Conclusion
Fetal RA RI and PI can be used as an antenatal predictor for the pregnancy outcome associated with idiopathic oligohydramnios; however, fetal RA PI was found to be a better predictor for the pregnancy outcome than fetal RA RI value in our study.
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