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正常妊娠兔母胎血管的多普勒评估。

Doppler evaluation of maternal and fetal vessels during normal gestation in rabbits.

机构信息

Department of Veterinary Pathology Clinical and Diagnostic, Faculty of Veterinary Medicine, University of Perugia, Perugia, Italy.

出版信息

Theriogenology. 2010 Feb;73(3):358-66. doi: 10.1016/j.theriogenology.2009.09.019. Epub 2009 Dec 6.

Abstract

The aim of this work was to evaluate the hemodynamic changes in the utero-placental arterial vessels in rabbits (Orictolagus cuniculus) throughout pregnancy as well as those in the umbilical cord, aorta, and caudal vena cava of fetuses to establish their normal reference ranges for systolic peak velocity (SPV), end diastolic velocity (EDV), pulsatility index (PI), and resistance index (RI). The blood flow waveforms were monitored every 4 d in 10 rabbits from Day 10 of pregnancy onward by means of color and pulsed wave Doppler ultrasonography using a 5.5-7.5 MHz microconvex transabdominal probe. The utero-placental blood flow was characterized by steep increases and decrease in the SPV with a slow diastolic wave and relatively high EDV, whereas that of the umbilical artery was discontinuous until Day 22 of pregnancy, when a diastolic waveform was also detectable. From Day 10 to 22 of pregnancy, the fetal aorta blood flow was discontinuous, but thereafter a diastolic peak was measurable. The blood flow of the fetal caudal vena cava was characterized by a systolic peak followed by a small diastolic peak. Throughout the gestation, the SPV and the EDV of maternal and fetal vessels increased (alpha<0.05), whereas the PI and the RI decreased (alpha<0.05), except for the utero-placental vessels. This work confirms that the rabbit could also be a valid experimental animal model to study, by Doppler ultrasonography, functional hemodynamic changes of the fetuses and placenta vessels in both normal and pathophysiologic conditions.

摘要

本研究旨在评估妊娠期间家兔(Orictolagus cuniculus)子宫胎盘动脉血管和胎儿脐动脉、主动脉和尾静脉的血流动力学变化,以确定其收缩期峰值速度(SPV)、舒张末期速度(EDV)、搏动指数(PI)和阻力指数(RI)的正常参考范围。在妊娠第 10 天开始,使用 5.5-7.5 MHz 的微凸式经腹探头通过彩色和脉冲波多普勒超声每隔 4 天监测 10 只家兔的血流波形。子宫胎盘血流的 SPV 呈陡峭上升和下降,舒张期波缓慢,EDV 相对较高;而脐动脉血流在妊娠第 22 天之前呈不连续状态,此时也可检测到舒张期波形。从妊娠第 10 天到第 22 天,胎儿主动脉血流不连续,但此后可测量到舒张峰值。胎儿尾静脉血流的特点是收缩期后有一个小的舒张期峰值。在整个妊娠期,母体和胎儿血管的 SPV 和 EDV 增加(α<0.05),而 PI 和 RI 降低(α<0.05),但子宫胎盘血管除外。本研究证实,家兔也可以成为一种有效的实验动物模型,通过多普勒超声研究正常和病理生理条件下胎儿和胎盘血管的功能血流动力学变化。

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