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采用单点剪切波弹性成像技术评估胎儿生长受限孕妇的胎盘弹性。

Placental elasticity assessment by point shear wave elastography in pregnancies with intrauterine growth restriction.

机构信息

Manisa Celal Bayar University, Department of Obstetrics and Gynecology, Perinatology Division, Manisa, Turkey.

出版信息

J Perinat Med. 2019 Oct 25;47(8):841-846. doi: 10.1515/jpm-2019-0238.

Abstract

Background Placental elasticity varies in different diseases. Our objective was to evaluate placental elasticity using point shear wave elastography (pSWE) in pregnancies with intrauterine growth restriction (IUGR). Methods A total of 66 pregnant women with IUGR and 81 healthy pregnant women were enrolled. Placental elasticity was measured using the transabdominal pSWE method. Ten measurements were made, and the mean was accepted as the mean placental elasticity value in each case. The results for IUGR pregnancies and controls were compared. Results The mean pSWE values were significantly higher in pregnancies with IUGR, which means that women with IUGR have stiffer placentas (P < 0.001). Furthermore, the pSWE values were significantly and positively correlated with Doppler indices and adverse perinatal outcomes. Conclusion The pregnancies with IUGR had stiffer placentas than the healthy controls. The utilization of pSWE for placental elasticity may be useful in the diagnosis and management of IUGR as a supplement to the existing ultrasonography methods.

摘要

背景

胎盘弹性在不同疾病中存在差异。我们的目的是使用点剪切波弹性成像(pSWE)评估宫内生长受限(IUGR)孕妇的胎盘弹性。

方法

共纳入 66 例 IUGR 孕妇和 81 例健康孕妇。使用经腹 pSWE 方法测量胎盘弹性。进行了 10 次测量,取平均值作为每个病例的平均胎盘弹性值。比较 IUGR 妊娠和对照组的结果。

结果

IUGR 妊娠的平均 pSWE 值明显更高,这意味着 IUGR 孕妇的胎盘更硬(P<0.001)。此外,pSWE 值与多普勒指数和不良围产儿结局呈显著正相关。

结论

与健康对照组相比,IUGR 妊娠的胎盘更硬。pSWE 用于胎盘弹性的应用可能有助于 IUGR 的诊断和管理,作为对现有超声方法的补充。

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