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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