摘要
目的通过彩色多普勒超声对稽留流产患者和早孕者在血流动力学方面进行分析,为早期诊断稽留流产提供依据。方法对200例稽留流产患者和200例正常早孕者分别进行经阴道彩色多普勒检查,测量每个患者子宫动脉、螺旋动脉的血流动力学指标,包括搏动指数(PI)、阻力指数(RI)、收缩/舒张末流速比(S/D)。结果稽留流产组的子宫动脉和螺旋动脉中RI和PI明显高于正常早孕组,差异有统计学意义(P<0.05),而稽留流产组的子宫动脉和螺旋动脉S/D高于正常早孕组,但差异无统计学意义(P>0.05)。结论监测子宫动脉的血流动力学参数对诊断稽留流产有重要的临床意义。
Objective To analyze the hemodynamics charateristics of patients with missed abortion and early pregnant women by color Doppler ultrasonography in order to provide the basis for early diagnosis of missed abortion. Methods The transvaginal color Doppler examination was performed in 200 cases of missed abortion and 200 cases of normal early pregnancy. The hemodynamic indexes of uterine artery and spiral artery including pulsatility index（ PI）,resistance index（ RI）,systolic/diastolic flow rate ratio（ S/D） were detected and statistically analyzed. Results RI and PI in uterine arteries and spiral arteries in missed abortion group were significantly higher than those in normal early pregnancy group（ P 〈0. 05）,and the S/D in uterine arteries and spiral arteries in missed abortion group was higher S/D than that in normal early pregnancy group,but there was no significant difference between two groups（ P 〉0. 05） Conclusion The monitoring of uterine artery hemodynamic parameters has important clinical significance in diagnosis of missed abortion.
作者
郝亚楠
张艺玮
潘晓伟
李辉贤
王宏卫
HAO Yanan;ZHANG Yiwei;PAN Xiaowei(Department of Ultrasound Diagnosis,The First Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050011,China)
出处
《河北医药》
CAS
2018年第10期1546-1548,共3页
Hebei Medical Journal
基金
石家庄市科学技术研究与发展课题(编号:151461313)
关键词
稽留流产
胚胎停育
彩色多普勒
血流动力学
早孕
missed abortion
embryo suspension
color Doppler
hemodynamics
early pregnancy
