胎儿主动脉峡部多普勒评价先兆子痫患者。

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-05-15 DOI:10.1002/jcu.24079

Gulsan Karabay, Zeynep Seyhanli, Ahmet Arif Filiz, Betul Tokgoz Cakir, Gizem Aktemur, Sadun Sucu, Nazan Vanli Tonyali, Furkan Akin, Umut Karabay, Zehra Vural Yilmaz

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引用次数: 0

摘要

目的：本研究旨在评估胎儿主动脉峡（AoI）多普勒参数在预测子痫前期患者不良围产期结局中的作用。方法：本前瞻性研究纳入来自安卡拉Etlik市医院的60例先兆子痫患者（分为早发型[EOPE]和晚发型[LOPE]组）和74例对照组。收集多普勒参数，如主动脉瓣血流指数（IFI）、收缩/舒张比（S/D）、脉搏指数（PI）和阻力指数（RI），并采用ROC分析其与围产期不良结局的关系。结果：与LOPE组和对照组相比，EOPE组的胎龄、出生体重和APGAR评分显著低于LOPE组（p = 1.13）， AoI S/D （p = 7.42）是不良围产期结局的重要预测因子。结论：AoI多普勒参数有助于预测子痫前期新生儿的不良结局。IFI、S/D、PI和RI的价值显示了在临床管理，特别是在监测高危妊娠方面的有用工具的潜力。

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Fetal Aortic Isthmus Doppler Evaluation in Pre-Eclampsia Patients.

Purpose: This study aimed to evaluate the role of fetal aortic isthmus (AoI) Doppler parameters in predicting adverse perinatal outcomes in pre-eclampsia patients.

Methods: This prospective study included 60 pre-eclampsia patients (divided into early-onset [EOPE] and late-onset [LOPE] groups) and 74 controls from Ankara Etlik City Hospital. Doppler parameters-such as aortic isthmus flow index (IFI), systolic/diastolic ratio (S/D), pulsatility index (PI), and resistive index (RI)-were collected, and their associations with adverse perinatal outcomes were analyzed using ROC analysis.

Results: In the EOPE group, gestational age, birth weight, and APGAR scores were significantly lower compared to the LOPE and control groups (p < 0.001). The EOPE group also showed significantly higher rates of NICU (neonatal intensive care unit) admission, preterm birth, respiratory distress syndrome, and need for mechanical ventilation (p < 0.001). The cut-off values for IFI (> 1.13) and AoI S/D (> 7.42) were found to be significant predictors of adverse perinatal outcomes.

Conclusion: AoI Doppler parameters may aid in predicting adverse neonatal outcomes in pre-eclampsia patients. The values of IFI, S/D, PI, and RI show potential as useful tools in clinical management, especially in monitoring high-risk pregnancies.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

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.