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多普勒波形:静脉导管与下腔静脉之间的关系。

Doppler waveforms: the relation between ductus venosus and inferior vena cava.

作者信息

Zhang Bin, Kanzaki Toru

机构信息

Obstetrics and Gynecology Hospital of FuDan University, Shanghai, China.

出版信息

Ultrasound Med Biol. 2005 Sep;31(9):1173-6. doi: 10.1016/j.ultrasmedbio.2005.05.006.

Abstract

This study was to assess whether or not there was correlation between the Doppler velocity waveform of the ductus venosus (DV) and inferior vena cava (IVC). A total of 142 healthy pregnant women were enrolled and divided into three groups according to the gestational weeks at the examination time. Group 1 was < or = 22 weeks; group 2 was between 22 and 28 weeks; and group 3 was > or = 28 weeks. Acuson 128xp was used to measure the Doppler velocity waveforms of DV and IVC by one experienced examiner. Doppler indices were used for analysis. Our results showed that, with the advance of pregnancy age, the resistance index of DV (DV-RI) and the preload index of IVC (IVC-PLI) were correlated with the gestational weeks, r = -0.247 and r = -0.540, respectively. There was a weak correlation between DV-RI and IVC-PLI, r = 0.202, p < 0.05; however, there was no significant correlation between DV-RI and IVC-PLI in group 1, group 2 or group 3. In conclusion, we report the first study on the correlation between DV-RI and IVC-PLI, which indicated the different roles of DV and IVC in fetal hemodynamics.

摘要

本研究旨在评估静脉导管(DV)和下腔静脉(IVC)的多普勒速度波形之间是否存在相关性。共纳入142例健康孕妇,并根据检查时的孕周分为三组。第1组孕周≤22周;第2组孕周在22至28周之间;第3组孕周≥28周。由一名经验丰富的检查者使用Acuson 128xp测量DV和IVC的多普勒速度波形。采用多普勒指数进行分析。我们的结果显示,随着孕周的增加,DV的阻力指数(DV-RI)和IVC的前负荷指数(IVC-PLI)与孕周相关,r分别为-0.247和-0.540。DV-RI与IVC-PLI之间存在弱相关性,r = 0.202,p < 0.05;然而,在第1组、第2组或第3组中,DV-RI与IVC-PLI之间均无显著相关性。总之,我们首次报道了关于DV-RI与IVC-PLI相关性的研究,该研究表明了DV和IVC在胎儿血流动力学中的不同作用。

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