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胚胎着床部位的滋养层厚度是孕早期妊娠不良进展的新标志吗?

Is trophoblastic thickness at the embryonic implantation site a new sign of negative evolution in first trimester pregnancy?

作者信息

Bajo J, Moreno-Calvo F J, Martinez-Cortés L, Haya F J, Rayward J

机构信息

Department of Obstetrics and Gynecology, Hospital Universitario Getafe, 28905 Madrid, Spain.

出版信息

Hum Reprod. 2000 Jul;15(7):1629-31. doi: 10.1093/humrep/15.7.1629.

DOI:10.1093/humrep/15.7.1629
PMID:10875879
Abstract

In this study a new sign to evaluate the evolution of pregnancy is described: the trophoblastic thickness at the embryonic implantation site. A prospective, observational study of 592 normal pregnancies with no known risk factors was carried out from January 1998 to February 1999. Serial ultrasound scans were performed from week 5 to week 12 of pregnancy. Trophoblastic thickness was measured at the embryonic implantation site to determine the significance of a difference in gestational age in weeks and a trophoblastic thickness of >/=3 mm in predicting poor prognosis in pregnancy outcome. The sensitivity of this sign in the prediction of spontaneous abortion was 82%, the specificity was 93%, the positive predictive value was 63% and the negative predictive value was 97%.

摘要

本研究描述了一种评估妊娠进展的新体征

胚胎着床部位的滋养层厚度。1998年1月至1999年2月,对592例无已知危险因素的正常妊娠进行了一项前瞻性观察研究。在妊娠第5周~第12周进行系列超声扫描。测量胚胎着床部位的滋养层厚度,以确定孕周差异以及滋养层厚度≥3 mm对预测妊娠结局不良的意义。该体征预测自然流产的敏感度为82%,特异度为93%,阳性预测值为63%,阴性预测值为97%。

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引用本文的文献

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Implantation in the lower half of the uterine cavity and decreased trophoblastic thickness can predict subsequent miscarriage: a prospective cohort study.子宫下半部着床和滋养层变薄可预测随后的流产:一项前瞻性队列研究。
Reprod Fertil. 2023 Dec 13;4(4). doi: 10.1530/RAF-23-0044. Print 2023 Oct 1.
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Combining early (<11 weeks' gestation) ultrasound features and maternal factors to predict small-for-gestational age neonates.结合早期(妊娠<11周)超声特征和母体因素预测小于胎龄儿。
Australas J Ultrasound Med. 2020 Aug 20;24(1):37-47. doi: 10.1002/ajum.12224. eCollection 2021 Feb.
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The developmental origins of placental function.
胎盘功能的发育起源。
Australas J Ultrasound Med. 2017 Oct 16;20(4):141-146. doi: 10.1002/ajum.12071. eCollection 2017 Nov.