多普勒超声对妊娠自然终止患者血流动力学变化的研究

首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (3): 402-405.

多普勒超声对妊娠自然终止患者血流动力学变化的研究

钱敏¹, 张丹², 马玉庆¹

1. 首都医科大学附属北京妇产医院超声科;2. 首都医科大学附属北京复兴医院中心B超室

收稿日期:2005-11-30 修回日期:1900-01-01 出版日期:2006-06-24 发布日期:2006-06-24

Study on the Hemodynamics Changes of Patients with Pregnancy Failure by Means of Doppler Ultrasound

Qian Min¹, Zhang Dan², Ma Yuqing¹

1. Department of Ultrasound, Beijing Obstetric and Gynecology Hospital, Capital University of Medical Sciences;2. Department of Ultrasound, Beijing Fuxing Hospital, Capital University of Medical Sciences

Received:2005-11-30 Revised:1900-01-01 Online:2006-06-24 Published:2006-06-24

摘要/Abstract

摘要： 目的应用多普勒超声评价妊娠自然终止患者子宫动脉和卵巢动脉的血流动力学的变化.方法选择在北京妇产医院就诊的273名患者进行超声检查,其中正常早期妊娠者156例,自然妊娠终止患者117例(胚胎停止发育52例,无胚胎妊娠65例).应用经腹超声测量孕妇双侧子宫动脉上行支和卵巢动脉,并对数据进行统计学分析.结果妊娠自然终止患者优势侧和非优势侧子宫动脉的搏动指数(pulse index,PI)、阻力指数(resistant index,RI)、收缩期最大血流速度与舒张期最小血流速度比值(ratio between the peak of systolic velocity and the end of diastolic velocity S/D)测量值均明显低于正常早期妊娠妇女,差异均有统计学意义.而胚胎停止发育和无胚胎妊娠患者之间差异无统计学意义.卵巢动脉血流动力学变化在3组之间差异无统计学意义.结论子宫动脉上行支的PI、RI值可用来辅助判断妊娠是否终止,当优势侧子宫动脉上行支的PI、RI值明显减低时(PI＜1.80,RI＜0.77),提示妊娠终止的可能性极大.

关键词: 超声检查, 血流动力学, 胚胎停止发育

Abstract: Objective To investigate the hemodynamic changes of the pregnancy failure by Doppler ultrasound.Methods 273 cases were examined with ultrasound, there were 156 cases of normal early pregnancy, 52 cases pregnancy failure and 65 cases anembryonic pregnancy. The bilateral arteries of uterus and ovary were measured by trans abdominal color and pulsed Doppler. The data of the blood flow were analysed by statistically.Results The measurement of the pulse index(PI), the resistant index(RI) and the ratio between the peak of systolic velocity and the end of diastolic velocity(S/D) of dominant and non-dominant uterus artery in pregnancy failure were much lower than that of normal early pregnancy. There was significant statistic difference in the PI, RI and S/D between them. And there were similar ities between the pregnancy failure and anembryonic pregnancy, with no statistic difference between them. No significant difference was found between the pregnancy failure and normal early pregnancy in terms of ovarial artery measurement.Conclusion The change of PI and RI in uterus artery could be used to evaluate the outcome of the pregnancy. When the PI and RI of the dominant uterus artery are lower than 1.80 and 0.77 respectively, the risk of the pragnancy failure is higher than normal.

Key words: ultrasonography, hemodynamics, pregnancy failure

中图分类号:

R445.1

钱敏;张丹;马玉庆. 多普勒超声对妊娠自然终止患者血流动力学变化的研究[J]. 首都医科大学学报, 2006, 27(3): 402-405.

Qian Min;Zhang Dan;Ma Yuqing. Study on the Hemodynamics Changes of Patients with Pregnancy Failure by Means of Doppler Ultrasound[J]. Journal of Capital Medical University, 2006, 27(3): 402-405.

[1]	苏芳菲, 王晶晶, 阴赪宏, 岳文涛, 吴青青. 妊娠中期胎儿心轴角度与胎儿先天性心脏病的关系[J]. 首都医科大学学报, 2019, 40(6): 838-841.
[2]	隋滨滨, 高培毅, 林燕, 赵海清, 宋立刚. 应用磁共振4D flow成像对正常颅内前循环动脉血流动力学参数定量评估的可重复性研究[J]. 首都医科大学学报, 2018, 39(2): 157-162.
[3]	孔丽君, 周莉, 杨丽, 范玲. 产前超声检查和磁共振成像对胎盘植入诊断的准确性评估[J]. 首都医科大学学报, 2016, 37(2): 238-240.
[4]	张岩岩, 李宏军. HBV相关肝硬化结节多步癌变的MRI影像特征及最新进展[J]. 首都医科大学学报, 2015, 36(4): 659-662.
[5]	王勇, 刘勇, 潘磊. 超声心动图在急进高原人员心室功能评价中的应用[J]. 首都医科大学学报, 2013, 34(6): 891-893.
[6]	耿冀, 范占明, 李宇, 辛海燕, 张楠. PC-MRA对Stanford B型主动脉夹层血流动力学与顺应性的研究[J]. 首都医科大学学报, 2013, 34(3): 333-338.
[7]	李国政;苑敏;吴子芳;刘增强;刘丽艳. 子宫肌瘤与子宫腺肌病超声造影鉴别诊断的价值[J]. 首都医科大学学报, 2011, 32(2): 293-296.
[8]	赵立红;石广志;郑一;徐明;周建新. 咪唑安定、异丙酚对后颅窝手术后患者血流动力学的影响[J]. 首都医科大学学报, 2009, 30(4): 534-537.
[9]	李玉华;董鹏;田鸣. 蛛网膜下腔阻滞-硬膜外联合麻醉对高龄患者血流动力学的影响[J]. 首都医科大学学报, 2009, 30(3): 389-392.
[10]	苏里亚;徐光;彭禹. 老年卧床患者下肢深静脉血流动力学改变与血栓形成的关系[J]. 首都医科大学学报, 2009, 30(3): 396-398.
[11]	胡贵芝;孙燕霞;杨静;年阿兴;张炳熙. 异丙酚在老龄患者球后神经阻滞中的应用[J]. 首都医科大学学报, 2005, 26(3): 341-343.
[12]	焦希平;邢燕;王保国. 神经外科术中硝普钠控制性降压期间血流动力学的变化[J]. 首都医科大学学报, 2003, 24(3): 323-325.
[13]	李艳;周晓莉;王保国. 新斯的明和阿托品用于肌松拮抗时对血流动力学的影响[J]. 首都医科大学学报, 2003, 24(1): 67-70.
[14]	杨东旭;胡小敏;丁惠国. 普萘洛尔联合硝苯地平对实验性肝硬化大鼠血流动力学的影响[J]. 首都医科大学学报, 2000, 21(3): 195-197.
[15]	董忠田;候欣荣;赵淑芬. 罗布麻浸膏对麻醉犬的血液动力学影响[J]. 首都医科大学学报, 1987, 8(2): 109-112.