子宫动脉多普勒在预测胎盘介导疾病引起的先兆子痫和胎儿生长受限中的作用。

Current health sciences journal Pub Date : 2023-04-01 Epub Date: 2023-06-30 DOI:10.12865/CHSJ.49.02.251
Adriana Tudor, Liliana Novac, Ioana-Victoria Camen, Maria Magdalena Manolea, Maria-Sidonia Sandulescu, Sidonia Catalina Vrabie, Mircea-Sebastian Serbanescu, Mihail Virgil Boldeanu, Anca-Maria Istrate-Ofiteru, Anda Lorena Dijmarescu
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引用次数: 0

摘要

胎盘介导的妊娠障碍是一种包括先兆子痫(PE)和小于胎龄儿(SGA)出生的疾病,这些疾病在短期和长期内增加了孕产妇和胎儿/新生儿的死亡率和发病率。方法:前瞻性研究包括106名患者,他们在妊娠20.0-23.6周的妊娠中期和妊娠28.0-32.6周的妊娠晚期进行了子宫动脉(UtA)的超声多普勒扫描。结果:在妊娠中期,UtA-PI百分位数的平均值具有统计学意义(p95百分位数与PE和SGA的发展有关。另一方面,在所研究的两个三聚体中,作为一个单一指标分析的当前缺口没有呈现出统计学意义的相关性(p>0.05)。结论:我们的研究结果表明,考虑到以下因素,UtA-PI多普勒是先兆子痫的最佳预测指标正如大多数研究所发现的,宫内生长受限的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Role of Uterine Artery Doppler in the Second and Third Trimesters for Prediction of Preeclampsia and Fetal Growth Restriction Developed as a Consequence of Placental-Mediated Diseases.

The Role of Uterine Artery Doppler in the Second and Third Trimesters for Prediction of Preeclampsia and Fetal Growth Restriction Developed as a Consequence of Placental-Mediated Diseases.

Placenta-mediated pregnancy disorders represent a disease that includes preeclampsia (PE) and the birth of small for gestational age (SGA) children, these conditions increase the risk of mortality and morbidity both maternal and fetal/neonatal, in the short and long-term.

Methods: The prospective study included 106 patients in whom ultrasound Doppler scans of uterine artery (UtA) were performed in the 2nd trimester between 20.0-23.6 weeks of gestation and the 3rd trimester between 28.0-32.6 weeks of gestation.

Results: In the second trimester, the average of the UtA-PI percentiles was statistically significant (p<0.05) in correlation with PE and SGA, as in the third trimester. Statistically significant (p<0.05) was also the correlation of UtA-PI >95 percentile with the development of PE and SGA. On the other hand, the present notch, in the two trimesters studied, analyzed as a single index, did not present a statistically significant association (p>0.05).

Conclusions: The results of our study showed that UtA-PI Doppler is the best predictor of preeclampsia considering the association of intrauterine growth restriction, as most studies have found.

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