Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1545-1547
CHU Hua, LU Yan, LIU Ming-song. The correlation between the dynamic analysis of uterine artery ultrasound parameters during pregnancy and the risk of preeclampsia[J]. Chinese Journal of General Practice, 2022, 20(9): 1545-1547. doi: 10.16766/j.cnki.issn.1674-4152.002645
Citation: CHU Hua, LU Yan, LIU Ming-song. The correlation between the dynamic analysis of uterine artery ultrasound parameters during pregnancy and the risk of preeclampsia[J]. Chinese Journal of General Practice, 2022, 20(9): 1545-1547. doi: 10.16766/j.cnki.issn.1674-4152.002645
shu

The correlation between the dynamic analysis of uterine artery ultrasound parameters during pregnancy and the risk of preeclampsia

doi: 10.16766/j.cnki.issn.1674-4152.002645

  • Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang 313000, China

Funds:

 2021KY1084

 2019GYB15

  • Received Date: 2021-12-14
    Available Online: 2022-11-29
    Abstract
  •   Objective  To dynamically analyse the ultrasound parameters of uterine arteries and their correlation with the risk of preeclampsia in pregnant patients.  Methods  A total of 60 cases of preeclampsia patients who received uterine artery ultrasonography in Huzhou Maternity and Children ' s Health Hospital from January 2020 to October 2021 were included in the preeclampsia group, and 60 patients who received uterine artery ultrasonography during the same period without preeclampsia were included as the control group. The ultrasound parameters of the uterine artery during pregnancy and their correlation with preeclampsia during pregnancy were dynamically analysed.  Results  The RI value, PI value and S/D value of pregnant women in both groups decreased with the prolongation of pregnancy, and the RI value, PI value and S/D value of the control group were lower than those of the preeclampsia group (all P < 0.05). Pearson correlation coefficient analysis showed that the RI value, PI value and S/D value at 11-16 weeks of pregnancy and 20-24 weeks of pregnancy were positively correlated with the risk of preeclampsia (r=0.602, 0.774, 0.638; r=0.809, 0.833, 0.608, all P < 0.05). Multivariate logistic regression analysis showed that high RI value, high PI value and high S/D value at 11-16 weeks of pregnancy and 20-24 weeks of pregnancy were the risk factors of preeclampsia in pregnant women (OR=2.463, 1.239, 1.599; OR=1.643, 1.568, 1.741, all P < 0.05). ROC curve analysis showed that the predictive value of uterine artery ultrasound parameters at 11-16 weeks of gestation (AUC was 0.965) was higher than the uterine artery ultrasound parameters at 20-24 weeks of gestation (AUC was 0.885, P < 0.05).  Conclusion  The RI, PI and S/D index of the uterine artery in pregnant women decrease with the prolongation of pregnancy, which is positively correlated with the risk of preeclampsia in pregnant women, and can be used as a predictor of the risk of preeclampsia in pregnant women.

     

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    • References(18)
  • [1]
    陈娅, 张英. 子痫前期再发对病情和妊娠结局的影响[J]. 中华全科医学, 2019, 17(2): 209-211, 287. doi: 10.16766/j.cnki.issn.1674-4152.000641

    CHEN Y, ZHANG Y. Impact of recurrent preeclampsia on clinical manifestations and pregnancy outcomes[J]. Chinese Journal of General Practice, 2019, 17(2): 209-211, 287. doi: 10.16766/j.cnki.issn.1674-4152.000641
    [2]
    黄琳, 陈敦金, 陈兢思. 子痫前期的预防新进展[J]. 中国医师杂志, 2020, 22(7): 972-976.

    HUANG L, CHEN D J, CHEN J S. New progress in prevention of preeclampsia[J]. Journal of Chinese Physician, 2020, 22(7): 972-976.
    [3]
    邓晨晨, 陶峰, 陈红波. 子宫动脉多普勒超声预测子痫前期的研究现状[J]. 中华全科医学, 2020, 18(6): 1002-1005. doi: 10.16766/j.cnki.issn.1674-4152.001413

    DENG C C, TAO F, CHEN H B. Prediction of uterine artery doppler for preeclampsia[J]. Chinese Journal of General Practice, 2020, 18(6): 1002-1005. doi: 10.16766/j.cnki.issn.1674-4152.001413
    [4]
    KALAFAT E, LAORETI A, KHALILl A, et al. Ophthalmic artery doppler for prediction of pre-eclampsia: Systematic review and meta-analysis[J]. Ultrasound Obstet Gynecol, 2018, 51(6): 731-737. doi: 10.1002/uog.19002
    [5]
    SERRA B, MENDOZA M, SCAZZOCCHIO E, et al. A new model for screening for early-onset preeclampsia[J]. Am J Obstet Gynecol, 2020, 222(6): 608. e1-608. e18. DOI: 10.1016/j.ajog.2020.01.020.
    [6]
    杨孜, 张为远. 妊娠期高血压疾病诊治指南(2015)[J]. 中华围产医学杂志, 2016, 19(3): 161-169. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201510002.htm

    YANG Z, ZHANG W Y. Guidelines for diagnosis and treatment of hypertensive diseases during pregnancy (2015)[J]. Chinese Journal of Perinatal Medicine, 2016, 19(3): 161-169. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201510002.htm
    [7]
    HWUANG E, VIDORRRETA M, SCHWARTZ N, et al. Assessment of uterine artery geometry and hemodynamics in human pregnancy with 4d flow mri and its correlation with doppler ultrasound[J]. J Magn Reson Imaging, 2019, 49(1): 59-68. doi: 10.1002/jmri.26229
    [8]
    PLASENCIA W, MAIZ N, POON L, et al. Uterine artery Doppler at 11+0 to 13+6 weeks and 21+0 to 24+6 weeks in the prediction of pre-eclampsia[J]. Ultrasound Obstet Gynecol, 2008, 32(2): 138-146. doi: 10.1002/uog.5402
    [9]
    WANG W, WANG Y Y, YUAN T, et al. Nomogram-based prediction of pre-eclampsia in the first trimester of gestation[J]. Pregnancy Hypertens, 2020, 21(1): 145-151.
    [10]
    ADEKANMI A J, ROBERTS A, AKONMOLADUN J A, et al. Uterine and umbilical artery doppler in women with pre-eclampsia and their pregnancy outcomes[J]. Niger Postgrad Med J, 2019, 26(2): 106-112.
    [11]
    MULA R, MLERER E, ALBAIGES G, et al. Strategies for the prediction of late preeclampsia[J]. J Matern Fetal Neonatal Med, 2019, 32(22): 3729-3733.
    [12]
    DI PASQUO E, GHI T, DALL'ASTA A, et al. Maternal cardiac parameters can help in differentiating the clinical profile of preeclampsia and in predicting progression from mild to severe forms[J]. Am J Obstet Gynecol, 2019, 221(6): 633. e1-633. e9. DOI: 10.1016/j.ajog.2019.06.029.
    [13]
    MASINI G, TORDINI C, PIETROSABTE A, et al. Prediction of pregnancy complications by second-trimester uterine artery Doppler assessment in monochorionic twins[J]. J Clin Ultrasound, 2019, 47(7): 399-404.
    [14]
    GUY G P, LING H Z, GARCIA P, et al. Maternal cardiac function at 35-37 weeks ' gestation: Prediction of pre-eclampsia and gestational hypertension[J]. Ultrasound Obstet Gynecol, 2017, 49(1): 61-66.
    [15]
    CLARK A R, JAMES J L, STEVENSON G N, et al. Understanding abnormal uterine artery Doppler waveforms: A novel computational model to explore potential causes within the utero-placental vasculature[J]. Placenta, 2018, 66(1): 74-81.
    [16]
    ADEKANMI A J, ROBERTS A, AKINMOLADUN J A, et al. Uterine and umbilical artery doppler in women with pre-eclampsia and their pregnancy outcomes[J]. Niger Postgrad Med J, 2019, 26(2): 106-112.
    [17]
    TORABI S, SHEIKH M, FATTAHI MASROUR F, et al. Uterine artery Doppler ultrasound in second pregnancy with previous elective cesarean section[J]. J Matern Fetal Neonatal Med, 2019, 32(13): 2221-2227.
    [18]
    TAYLOR T J, QUINTON A E, DE VRIES B S, et al. Uterine artery pulsatility ondex assessment at <11 weeks ' gestation: A prospective study[J]. Fetal Diagn Ther, 2020, 47(2): 129-137.
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