摘要
【目的】探讨胎儿脐动脉舒张末期血流缺失（AEDV）与妊娠结局的关系。【方法】产前常规应用脉冲多普勒技术行胎儿脐动脉血流频谱检测，确诊为AEDV孕妇36例，分析AEDV与妊娠合并症、妊娠结局的关系。【结果]36例AEDV病例中，重度子痫前期69．4％（25／36），胎儿生长受限80．6％（29／36），羊水过少22．2％（8／36），妊娠期肝内胆管淤积症11．1％（4／36），妊娠期糖尿病8．3％（3／36）；胎儿先天畸形发生率为16．7％（6／36），病死率55．6％（20／36）。【结论】脐动脉舒张末期血流缺失是脐动脉血流阻力增高的特有袁现，表明胎儿一胎盘循环障碍，妊娠合并症增多，胎儿预后不良，临床应给予高度重视。
[ Objective] To explore the relationship between absent end-diastolic velocity（AEDV） in the umbilical artery and the pregnancy outcome.[Methods]Pulse Doppler was used to measure fetal umbilical artery flow. A total of 36 pregnant women were diagnosed as AEDV. The correlation of AEDV with pregnancy complications and pregnancy outcomes was analyzed. [Results] Among 36 AEDV cases, there were 25 cases of severe preeclampsia（69.4 %）, 29 cases of intrauterine growth retardation（IUGR） （80.6%）, 8 cases of oligohydramnios（22.2%）, 4 cases of interahepatic cholestasis of pregnancy（11.1%） and 3 cases of gestational diabetes mellitus（8.3%）. The incident rate of fetal malformation was 16.7% （6/36） and the mortality rate was 55.6%（20/36）. [Conclusion]AEDV in the umbilical artery is the unique performance of abnormally increased resistance of blood flow in the umbilical artery, which suggests fetal-placenta circulation barrier, more pregnancy complications and poor prognosis of fetus. Therefore AEDV should be paid attention.
出处
《医学临床研究》
CAS
2012年第3期423-425,共3页
Journal of Clinical Research
关键词
脐动脉
妊娠结局
Umbilical arteries
pregnancy outcome
