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在遗传羊膜腔穿刺术期间，出血是否会影响胎儿多普勒参数？

Does bleeding affect fetal Doppler parameters during genetic amniocentesis?

作者信息

Iskender Cantekin, Tarım Ebru, Cok Tayfun, Kalaycı Hakan, Parlakgümüş Ayşe, Yalçınkaya Cem

机构信息

Department of Perinatology, Dr Zekai Tahir Burak Research and Training Hospital, Ankara, Turkey.

Department of Obstetrics and Gynecology, Başkent University Faculty of Medicine, Adana, Turkey.

出版信息

J Turk Ger Gynecol Assoc. 2014 Jun 1;15(2):100-3. doi: 10.5152/jtgga.2014.0031. eCollection 2014.

DOI:10.5152/jtgga.2014.0031
PMID:24976776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4072546/
Abstract

OBJECTIVE

The aim of this study was to investigate the relationship between fetal Doppler parameters and bleeding at insertion points during amniocentesis.

MATERIAL AND METHODS

This prospective study was conducted between July 2010 and February 2011. A total of 215 amniocentesis procedures were performed during this period. Five patients with Down syndrome were excluded from the study. The remaining 210 patients were divided into Group 1 (bleeding at insertion site) and Group 2 as a control group. One needle type was used for all patients. Umbilical artery resistance index (UARI), umbilical artery pulsatility index (UAPI), middle cerebral artery resistance index (MCARI), middle cerebral artery pulsatility index (MCA PI), and middle cerebral artery peak systolic velocity (MCAPSV) were measured immediately and before and after amniocentesis.

RESULTS

Bleeding at the insertion point during amniocentesis did not significantly change the UARI (34% increase for Group 1 and 46.5% increase for Group 2, p=0.238), the MCARI (52% increase for Group 1 and 45% increase for Group 2, p=0.622), or the MCAPSV (37% increase for Group 1 and 49% increase for Group 2, p=0.199). UARI, MCARI, MCA PI, and MCAPSV were not significantly altered following amniocentesis in Groups 1 and 2. There was a significant increase in UAPI following amniocentesis only in Group 2.

CONCLUSION

Bleeding during genetic amniocentesis did not change umbilical artery and middle cerebral artery Doppler parameters.

摘要

目的

本研究旨在探讨羊膜腔穿刺术期间胎儿多普勒参数与穿刺点出血之间的关系。

材料与方法

这项前瞻性研究于2010年7月至2011年2月进行。在此期间共进行了215例羊膜腔穿刺术。5例唐氏综合征患者被排除在研究之外。其余210例患者分为第1组（穿刺部位出血）和作为对照组的第2组。所有患者均使用一种针型。在羊膜腔穿刺术即刻、穿刺前后测量脐动脉阻力指数（UARI）、脐动脉搏动指数（UAPI）、大脑中动脉阻力指数（MCARI）、大脑中动脉搏动指数（MCA PI）和大脑中动脉收缩期峰值流速（MCAPSV）。

结果

羊膜腔穿刺术期间穿刺点出血并未显著改变UARI（第1组增加34%，第2组增加46.5%，p = 0.238）、MCARI（第1组增加52%，第⒉组增加45%，p = 0.622）或MCAPSV（第1组增加37%，第2组增加49%，p = 0.199）。第1组和第2组在羊膜腔穿刺术后UARI、MCARI、MCA PI和MCAPSV均未发生显著改变。仅第2组在羊膜腔穿刺术后UAPI有显著增加。

结论

基因羊膜腔穿刺术期间的出血未改变脐动脉和大脑中动脉的多普勒参数。