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超声评估不同宫内位置兔胎-胎盘组织。

Ultrasonographic evaluation of feto-placental tissues at different intrauterine locations in rabbit.

机构信息

Harran University, Faculty of Veterinary Medicine, Department of Obstetrics and Gynecology, Sanliurfa, Turkey.

Aydin Adnan Menderes University, Faculty of Veterinary Medicine, Department of Obstetrics and Gynecology, Aydin, Turkey.

出版信息

Theriogenology. 2019 Oct 15;138:16-23. doi: 10.1016/j.theriogenology.2019.06.042. Epub 2019 Jun 26.

Abstract

The main purpose of examining multiparous species with real-time ultrasonography is to determine the gestational age and make various fetal measurements for early diagnosis of growth anomalies and sibling mismatches. This study investigated changes in fetometric measurements, obstetric Doppler indices and placental image analysis results based on gestational age and fetal location in fetuses located cranially and caudally between 16 and 24 days gestation in 22 healthy pregnant New Zealand rabbits. The first study group consisted of fetuses positioned at the cranial end (n = 22) while the second group consisted of fetuses positioned at the caudal end (n = 22) in each pregnancy. Fetal biparietal head diameter (BPD) and trunk diameter (TD) were measured, and mean grayness values (MGV) were determined from placental image analysis of each fetus. Using Doppler USG, the pulsatile (PI) and resistance (RI) indices of the uterine artery (UtA) and umbilical artery (UmA) were recorded. By the end of the study, BPD and TD values for cranial and caudal fetuses had significantly increased with gestational age (P < 0.001). The MGV values of caudal fetuses were significantly higher (except for the 16th day) (P < 0.05). The UtA PI value of the caudal fetuses was significantly higher (except for the 18th day) (P < 0.01). The UtA RI values of caudal fetuses were significantly higher than cranial ones on the 16 and 24th days (P < 0.05). The PI of the UmA increased until the 20th day before decreasing significantly in both study groups (P < 0.001). The UmA RI value decreased according to the gestational age in both groups (P < 0.001). It was significantly higher in the caudal fetuses on the 20th day (P < 0.05). The somatic rate of all fetuses peaked at the end of the second trimester, although caudal fetuses had higher fetometric values, and this location difference also affected placental echotexture. In both vessels of caudal fetuses, pulsatility and resistance values were higher. The 20th day of pregnancy was a threshold for the Doppler exam results. In conclusion, growth and metabolic status of fetuses located in different uterine locations in healthy pregnant New Zealand rabbits vary. Based on the these growth curves and hemodynamic data, more comprehensive studies of intrauterine life may be possible.

摘要

本研究旨在探讨基于胎龄和胎儿位置的新西兰兔多胎妊娠实时超声检查中,颅侧和尾侧胎儿的胎儿测量值、产科多普勒指数和胎盘图像分析结果的变化。22 只健康新西兰兔妊娠 16-24 天,头侧(n=22)和尾侧(n=22)各有一组胎儿。测量胎儿双顶径(BPD)和躯干直径(TD),对每个胎儿的胎盘图像分析得出平均灰度值(MGV)。应用多普勒超声检查记录子宫动脉(UtA)和脐动脉(UmA)的搏动指数(PI)和阻力指数(RI)。研究结束时,颅侧和尾侧胎儿的 BPD 和 TD 值随胎龄显著增加(P<0.001)。尾侧胎儿的 MGV 值除第 16 天外均显著升高(P<0.05)。尾侧胎儿的 UtA PI 值除第 18 天外均显著升高(P<0.01)。第 16 和第 24 天,尾侧胎儿的 UtA RI 值显著高于颅侧胎儿(P<0.05)。两组中,UmA 的 PI 均在第 20 天之前增加,然后显著降低(P<0.001)。两组的 UmA RI 值均随胎龄下降(P<0.001)。第 20 天尾侧胎儿的 RI 值显著高于颅侧胎儿(P<0.05)。虽然尾侧胎儿的胎儿测量值较高,但所有胎儿的体表面积在中期妊娠末期达到峰值,这种位置差异也影响胎盘的回声纹理。尾侧胎儿的两种血管的搏动和阻力值均较高。第 20 天是多普勒检查结果的一个阈值。总之,健康新西兰兔不同子宫位置的胎儿生长和代谢状态不同。基于这些生长曲线和血流动力学数据,可能可以对宫内生活进行更全面的研究。

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