Volume 22 Issue 1
Jan.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 105-107
ZHU Ling, MEI Lina, SHAO Bingxin. Application value of placenta three-dimensional color power Doppler vascular ultrasound imaging in predicting fetal growth restriction in early pregnancy[J]. Chinese Journal of General Practice, 2024, 22(1): 105-107. doi: 10.16766/j.cnki.issn.1674-4152.003342
Citation: ZHU Ling, MEI Lina, SHAO Bingxin. Application value of placenta three-dimensional color power Doppler vascular ultrasound imaging in predicting fetal growth restriction in early pregnancy[J]. Chinese Journal of General Practice, 2024, 22(1): 105-107. doi: 10.16766/j.cnki.issn.1674-4152.003342
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Application value of placenta three-dimensional color power Doppler vascular ultrasound imaging in predicting fetal growth restriction in early pregnancy

doi: 10.16766/j.cnki.issn.1674-4152.003342

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

Funds:

 2022KY1226

 2023GY29

  • Received Date: 2023-09-06
    Available Online: 2024-03-09
    Abstract
  •   Objective  The placental three-dimensional color power angiographic (3D-CPA) was used to detect the placental three-dimensional power Doppler index of early pregnant women, and its clinical value in predicting fetal growth restriction (FGR) was analyzed.  Methods  From January 2022 to January 2023, 300 pregnant women who underwent fetal structure screening in Huzhou Maternal and Child Health Hospital were selected as the research objects. Fetuses diagnosed as FGR after delivery were included in the study group (n=150) and normal fetuses were included in the control group (n=150). The blood flow index (FI), vascularization index (VI), vascularization-flow index (VFI) and pregnancy outcome were compared between the two groups, and a multivariate logistic regression analysis model was constructed with statistically significant indicators, and the ROC curve was drawn to analyze the value of related indicators in predicting FGR.  Results  The incidence of premature delivery, cesarean section and fetal distress in the study group were significantly higher than those in the control group, while the FI, VI and VFI were lower than those in the control group, with statistical significance (P < 0.05). Multivariate logistic regression model analysis showed that FI (OR=0.919), VI (OR=0.860) and VFI (OR=0.703) were the influencing factors of FGR (P < 0.05). The ROC curve showed that the AUC of FI, VI and VFI were 0.653, 0.702 and 0.802, respectively.  Conclusion  Compared with normal fetal growth and development, placental blood perfusion with FGR is weakened, and the incidence of adverse pregnancy outcomes such as premature delivery, cesarean section and fetal distress is increased. 3D-CPA in early pregnancy has important predictive value for FGR, and can be used as an auxiliary examination method for FGR diagnosis.

     

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    • References(17)
  • [1]
    MELAMED N, BASCHAT A, YINON Y, et al. FIGO (International Federation of Gynecology and Obstetrics) initiative on fetal growth: best practice advice for screening, diagnosis, and management of fetal growth restriction[J]. Int J Gynaecol Obstet, 2021, 152(Suppl 1): 53-57.
    [2]
    赵建林, 漆洪波. 美国妇产科医师协会"胎儿生长受限指南(2019)"解读[J]. 中国实用妇科与产科杂志, 2019, 35(10): 1123-1125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201910014.htm

    ZHAO J L, QI H B. Interpretation of American Association of Obstetricians and Gynecologists' Guidelines on Fetal Growth Restriction (2019)[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2019, 35(10): 1123-1125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201910014.htm
    [3]
    段然, 乔娟, 漆洪波. 胎儿生长受限的诊治: 从经验到循证[J]. 中华围产医学杂志, 2019, 22(6): 381-384. doi: 10.3760/cma.j.issn.1007-9408.2019.06.002

    DUAN R, QIAO J, QI H B. Diagnosis and treatment of fetal growth restriction: from experience to evidence[J]. Chinese Journal of Perinatal Medicine, 2019, 22(6): 381-384. doi: 10.3760/cma.j.issn.1007-9408.2019.06.002
    [4]
    MYATT L, THORNBURG K. Effects of prenatal nutrition and the role of the placenta in health and disease[J]. Methods Mol Biol, 2018, 173(5): 19-46.
    [5]
    COLSON A, SONVEAUX P, DEBIEVE F, et al. Adaptations of the human placenta to hypoxia: opportunities for interventions in fetal growth restriction[J]. Hum Reprod Update, 2021, 27(3): 531-569. doi: 10.1093/humupd/dmaa053
    [6]
    孙秀丽, 倪国语. 宫内生长受限胎儿超声心动图血流动力学参数的临床意义[J]. 中国妇幼保健, 2018, 33(2): 434-435. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201802066.htm

    SUN X L, NI G Y. Clinical significance of hemodynamic parameters of intrauterine growth restriction fetus[J]. Chin Matern Child Health Care, 2018, 33(2): 434-435. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201802066.htm
    [7]
    PUTZ F J, PFISTER K, BERGLER T, et al. Sonographic 3-D power doppler imaging enhances rapid assessment of morphologic and pathologic arteriovenous fistula variations[J]. Ultrasound Med Biol, 2021, 47(6): 1484-1494. doi: 10.1016/j.ultrasmedbio.2021.02.014
    [8]
    陈瑞欣, 漆洪波, 刘兴会. 2021年美国妇产科医师协会胎儿生长受限指南解读[J]. 实用妇产科杂志, 2021, 37(12): 907-909. doi: 10.3969/j.issn.1003-6946.2021.12.syfckzz202112010

    CHEN R X, QI H B, LIU X H. Interpretation of 2021 American Association of Obstetricians and Gynecologists' Guidelines on Fetal Growth Restriction[J]. Journal of Practical Obstetrics and Gynecology, 2021, 37(12): 907-909. doi: 10.3969/j.issn.1003-6946.2021.12.syfckzz202112010
    [9]
    洪海燕, 刘宇杰, 方丽妮, 等. 超声检查子宫动脉、脐动脉血流参数对胎儿生长受限的诊断价值及临床监测意义[J]. 陕西医学杂志, 2023, 52(5): 567-570. doi: 10.3969/j.issn.1000-7377.2023.05.016

    HONG H Y, LIU Y J, FANG L N, et al. Diagnostic value and clinical monitoring significance of ultrasound examination of uterine artery and umbilical artery blood flow parameters for fetal growth restriction[J]. Shaanxi Medical Journal, 2023, 52(5): 567-570. doi: 10.3969/j.issn.1000-7377.2023.05.016
    [10]
    SEHGAL A, DASSIOS T, NOLD M F, et al. Fetal growth restriction and neonatal-pediatric lung diseases: vascular mechanistic links and therapeutic directions[J]. Paediatr Respir Rev, 2022, 44(1): 19-30.
    [11]
    徐晓明, 王傲, 李玉岩. 大连市初产妇及经产妇剖宫产率及剖宫产指征分析[J]. 现代妇产科进展, 2023, 32(6): 438-441. https://www.cnki.com.cn/Article/CJFDTOTAL-XDFC202306008.htm

    XU X M, WANG A, LI Y Y. Analysis of cesarean section rate and indications of primiparas and multiparas in Dalian[J]. Progress in Obstetrics and Gynecology, 2023, 32(6): 438-441. https://www.cnki.com.cn/Article/CJFDTOTAL-XDFC202306008.htm
    [12]
    SUN C, GROOM K M, OYSTON C, et al. The placenta in fetal growth restriction: what is going wrong?[J]. Placenta, 2020, 96(1): 10-18.
    [13]
    王卓, 任秀娥, 郑莉霞. 彩色多普勒超声测量胎儿脐动脉、大脑中动脉和主动脉弓峡部血流参数诊断孕晚期胎儿生长受限[J]. 影像科学与光化学, 2020, 38(2): 236-241. https://www.cnki.com.cn/Article/CJFDTOTAL-GKGH202002012.htm

    ZHUO W, REN X E, ZHENG L X. Diagnosis of fetal growth restriction in the third trimester by measuring fetal umbilical artery, middle cerebral artery and aortic arch isthmus with color Doppler ultrasound[J]. Imaging Science and Photochemistry, 2020, 38(2): 236-241. https://www.cnki.com.cn/Article/CJFDTOTAL-GKGH202002012.htm
    [14]
    HUSEN S C, KONING I V, GO A, et al. Three-dimensional ultrasound imaging of fetal brain fissures in the growth restricted fetus[J]. PLoS One, 2019, 14(5): e0217538. DOI: 10.1371/journal.pone.0217538.
    [15]
    刘浏. 子痫前期患者三维能量多普勒超声检测指标和胎盘生长因子及可溶性血管内皮细胞生长因子受体-1表达的相关性[J]. 中华全科医学, 2017, 15(8): 1398-1401. doi: 10.16766/j.cnki.issn.1674-4152.2017.08.037

    LIU L. Correlation between detection indexes of three-dimensional power Doppler ultrasound and expression of placental growth factor and soluble vascular endothelial growth factor receptor -1 in patients with preeclampsia[J]. Chinese Journal of General Practice, 2017, 15(8): 1398-1401. doi: 10.16766/j.cnki.issn.1674-4152.2017.08.037
    [16]
    CHEN J Y, CHEN M, WU X J, et al. The value of placental vascularization indices for predicting preeclampsia and fetal growth restriction in different stages of gestation: a prospective and longitudinal study[J]. Placenta, 2022, 122(1): 1-8.
    [17]
    中华医学会围产医学分会胎儿医学学组, 中华医学会妇产科学分会产科学组. 胎儿生长受限专家共识(2019版)[J]. 中华围产医学杂志, 2019, 22(6): 361-380. doi: 10.3760/cma.j.issn.1007-9408.2019.06.001

    Fetal Medicine Group of Perinatal Medicine Branch of Chinese Medical Association, Obstetrics Group of Obstetrics and Gynecology Branch of Chinese Medical Association. Expert Consensus on Fetal Growth Restriction (2019 Edition)[J]. Chinese Journal of Perinatal Medicine, 2019, 22(6): 361-380. doi: 10.3760/cma.j.issn.1007-9408.2019.06.001
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