[1]易 云,饶欣荣.彩色多普勒超声对中晚期孕妇脐带绕颈的诊断价值[J].医学信息,2023,36(18):167-170.[doi:10.3969/j.issn.1006-1959.2023.18.034]
　YI Yun,RAO Xin-rong.Diagnostic Value of Color Doppler Ultrasound for Cord Around Neck in Middle and Late Pregnant Women[J].Journal of Medical Information,2023,36(18):167-170.[doi:10.3969/j.issn.1006-1959.2023.18.034]
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彩色多普勒超声对中晚期孕妇脐带绕颈的诊断价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年18期
页码:
167-170
栏目:
诊疗技术
出版日期:
2023-09-15

文章信息/Info

Title:
Diagnostic Value of Color Doppler Ultrasound for Cord Around Neck in Middle and Late Pregnant Women
文章编号:
1006-1959（2023）18-0167-04
作者:
易 云; 饶欣荣
（1.万载县妇幼保健院超声科，江西 万载 336100；2.高安市仁德医院超声科，江西 高安 330800）
Author(s):
YI Yun; RAO Xin-rong
(1.Ultrasound Department of Wanzai County Maternal and Child Health Hospital,Wanzai 336100,Jiangxi,China;2.Ultrasound Department of Gao’an Rende Hospital,Gao’an 330800,Jiangxi,China)
关键词:
彩色多普勒超声; 脐带绕颈; 妊娠中晚期; 胎儿窘迫; 脐动脉血流参数
Keywords:
Color Doppler ultrasound; Cord around neck; Middle and Late pregnancy; Fetal distress; Umbilical artery blood flow parameters
分类号:
R445.1；R714.5
DOI:
10.3969/j.issn.1006-1959.2023.18.034
文献标志码:
A
摘要:
目的 研究彩色多普勒超声对中晚期孕妇脐带绕颈的诊断价值。方法 选取2020年1月-2022年1月万载县妇幼保健院收治的31例脐带绕颈中晚期孕妇为研究对象，设为观察组，另取同期产检正常的31例中晚期孕妇为对照组，两组均给予彩色多普勒超声检测，比较两组脐动脉血流参数[血流收缩期峰值/血流舒张期峰值（S/D）、阻力指数（RI）]，并统计彩色多普勒超声对中晚期孕妇脐带绕颈的诊断准确率。结果 观察组S/D值、RI值大于对照组（P＜0.05）；紧型绕颈胎儿的脐动脉血流S/D值、RI值大于松型绕颈胎儿（P＜0.05）；脐带绕颈周数≥2周胎儿的脐动脉血流S/D值、RI值大于脐带绕颈周数1周胎儿（P＜0.05）。彩色多普勒超声对中晚期孕妇脐带绕颈的总诊断准确率为90.32%。结论 彩色多普勒超声可通过胎儿颈部血流成像与脐动脉血流参数检测胎儿的脐带绕颈情况，其在中晚期孕妇脐带绕颈检测中具有良好的诊断准确性。
Abstract:
Objective To study the diagnostic value of color Doppler ultrasound for cord around neck in middle and late pregnant women.Methods Thirty-one pregnant women with cord around neck admitted to Wanzai County Maternal and Child Health Hospital from January 2020 to January 2022 were selected as the observation group, and 31 pregnant women with normal prenatal examination during the same period were selected as the control group. Both groups were given color Doppler ultrasonography. The umbilical artery blood flow parameters [peak systolic/peak diastolic blood flow (S/D), resistance index (RI)] were compared between the two groups, and the diagnostic accuracy of color Doppler ultrasonography for cord around neck in middle and late pregnant women was statistically analyzed.Results The S/D value and RI value of the observation group were higher than those of the control group (P<0.05). The S/D value and RI value of umbilical artery blood flow in fetus with tight neck were higher than those in the fetus with loose neck (P<0.05). The S/D value and RI value of umbilical artery blood flow in fetuse with umbilical cord around neck circumference ≥2 weeks were higher than those in fetuse with umbilical cord around neck circumference of 1 week (P<0.05). The total diagnostic accuracy of color Doppler ultrasound for cord around neck in middle and late pregnant women was 90.32%.Conclusion Color Doppler ultrasound can detect the fetal cord around the neck by fetal neck blood flow imaging and umbilical artery blood flow parameters, and it has good diagnostic accuracy in the detection of cord around the neck in middle and late pregnant women.

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更新日期/Last Update: 1900-01-01