摘要
目的探究与分析子宫动脉血流参数与胚胎停育的关系。方法回顾性分析山东省聊城市中医医院2018年5月至2021年5月收治的138例孕6~12周孕妇的临床资料,按照不同的发育情况将其分为正常组(121例)及停育组(17例),同时将停育组是否有胚胎分为空孕囊组(7例)及有胚胎无胎心组(10例)。比较正常组与停育组不同孕龄及不同胚胎类型下的子宫动脉血流参数。结果与孕第6周比较,正常组与停育组孕第9、12周收缩期峰值流速/舒张期流速(S/D)、阻力指数(RI)及搏动指数(PI)值降低,差异有统计学意义(P<0.05);与孕第9周比较,正常组与停育组孕第12周S/D、RI及PI值降低,差异有统计学意义(P<0.05)。与正常组比较,停育组孕第9、12周S/D、RI及PI值降低,差异有统计学意义(P<0.05)。停育组孕龄与S/D、PI、RI值呈负相关(r=-0.978、-0.971、-0.990,P<0.05)。三组入院时S/D、PI值比较,差异无统计学意义(P>0.05)。三组入院时RI值比较,差异有统计学意义(P<0.05);且与正常组比较,有胚胎无胎心组入院时RI值降低,差异有统计学意义(P<0.05)。结论采用阴道彩色多普勒超声监测子宫动脉血流参数在监测胚胎停育时具有较高的应用价值。
Objective To explore and analyze the relationship between uterine artery blood flow parameters and embryo abortion.Methods A retrospective analysis was performed on the clinical data of 138 pregnant women of 6-12 weeks of pregnancy admitted to Liaocheng Hospital of Traditional Chinese Medicine,Shandong Province from May 2018 to May 2021.They were divided into normal group(121 cases)and abortion group(17 cases)according to different developmental conditions.At the same time,the abortion group was divided into empty gestational sac group(7 cases)and embryo and no fetal heart group(10 cases).The uterine artery blood flow parameters were compared between normal group and abortion group at different gestational ages and different embryo types.Results Compared with the 6th week of pregnancy,the values of peak systolic/diastolic flow rate(S/D),resistance index(RI),and pulsatility index(PI)in the 9th and 12th weeks of pregnancy in normal group and abortion group were decreased,and the differences were statistically significant(P<0.05);compared with the 9th week of pregnancy,the values of S/D,RI,and PI in the 12th week of pregnancy were decreased in normal group and abortion group,and the differences were statistically significant(P<0.05).Compared with normal group,the values of S/D,RI,and PI in the 9th and the 12th weeks of abortion group were decreased,and the differences were statistically significant(P<0.05).The gestational age of abortion group was negatively correlated with S/D,PI,and RI values(r=-0.978,-0.971,-0.990,P<0.05).There were no significant differences in S/D and PI values at admission among three groups(P>0.05).RI values at admission were significantly different among three groups(P<0.05);compared with normal group,RI value at admission of embryo and no fetal heart group was lower,and the difference was statistically significant(P<0.05).Conclusion Using vaginal color Doppler ultrasound to monitor uterine artery blood flow parameters has a high application value in embryo monitoring.
作者
高慧
单珂
毛瑞敏
GAO Hui;SHAN Ke;MAO Ruimin(Department of Obstetrics and Gynecology,Liaocheng Hospital of Traditional Chinese Medicine,Shandong Province,Liaocheng 252000,China)
出处
《中国医药导报》
CAS
2022年第8期77-80,共4页
China Medical Herald
基金
山东省医药卫生科技发展计划项目(202005021409)。
关键词
孕妇
阴道彩色多普勒超声
子宫动脉血流参数
胚胎停育
Pregnant woman
Vaginal color Doppler ultrasound
Uterine artery blood flow parameters
Embryo abortion
