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母胎血流动力学能否影响犬类的产前发育?

Can maternal-fetal hemodynamics influence prenatal development in dogs?

作者信息

Freitas Luana Azevedo de, Mota Gustavo Lobato, Silva Herlon Victor Rodrigues, Carvalho Cibele Figueira, Silva Lúcia Daniel Machado da

机构信息

Laboratory of Carnivore Reproduction, Veterinary School, State University of Ceara, Fortaleza, Brazil.

Laboratory of Carnivore Reproduction, Veterinary School, State University of Ceara, Fortaleza, Brazil.

出版信息

Anim Reprod Sci. 2016 Sep;172:83-93. doi: 10.1016/j.anireprosci.2016.07.005. Epub 2016 Aug 3.

Abstract

The goals of this study were to report embryonic and fetal ultrasound changes and compare blood flow of uteroplacental and umbilical arteries of normal and abnormal conceptus. Accordingly, from the day of mating or artificial insemination, all fetuses in 60 pregnancies were evaluated weekly. According to the ultrasound findings, the gestational age was determined and the conceptuses were divided into normal or abnormal (embryonic and fetal abnormalities). The two-dimensional ultrasound assessment consists of measuring and evaluating the echogenicity of conceptus and extra-fetal structures. Doppler velocimetry measured the resistivity index (RI) and pulsatility index (PI) of uteroplacental and umbilical arteries. Two-dimensional and Doppler measurements were expressed as mean and standard deviation. Differences between normal and abnormal groups were subject to Mann-Whitney test (P<0.05). Of 264 fetuses, 15.90% showed embryonic abnormalities (resorption) and 5.68% presented fetal abnormalities (congenital abnormalities, fetal underdevelopment and fetal death). We observed a reduced diameter and abnormalities in the contour of gestational vesicle, lack of viability, increased placental thickness, increased fluid echogenicity and increases in RI and PI of uteroplacental arteries of conceptuses with embryonic resorption between the 2nd and 4th weeks. Fetuses with abnormalities showed changes in the flow of uteroplacental and umbilical arteries prior to visualization of two-dimensional alterations and different vascular behavior according to the classification of the change. Results show that ultrasound is efficient for the detection of embryonic and fetal abnormalities. When combined with Doppler ultrasound, it allows early detection of gestational changes, as well as hemodynamic changes, in conceptuses with abnormalities, which may influence their development.

摘要

本研究的目的是报告胚胎和胎儿的超声变化,并比较正常和异常妊娠的子宫胎盘和脐动脉的血流情况。因此,从交配或人工授精之日起,每周对60例妊娠中的所有胎儿进行评估。根据超声检查结果确定孕周,并将妊娠分为正常或异常(胚胎和胎儿异常)。二维超声评估包括测量和评估妊娠及胎儿外结构的回声。多普勒测速仪测量子宫胎盘和脐动脉的阻力指数(RI)和搏动指数(PI)。二维和多普勒测量结果以平均值和标准差表示。正常组和异常组之间的差异采用Mann-Whitney检验(P<0.05)。在264例胎儿中,15.90%出现胚胎异常(吸收),5.68%出现胎儿异常(先天性异常、胎儿发育不全和胎儿死亡)。我们观察到,在第2至4周期间,出现胚胎吸收的妊娠囊直径减小、轮廓异常、无活力、胎盘厚度增加、液性回声增强以及子宫胎盘动脉的RI和PI升高。异常胎儿在二维改变出现之前,子宫胎盘和脐动脉的血流就发生了变化,并且根据变化的分类表现出不同的血管行为。结果表明,超声对于检测胚胎和胎儿异常是有效的。当与多普勒超声结合使用时,它能够早期检测出异常妊娠中的妊娠变化以及血流动力学变化,这些变化可能会影响其发育。

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