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正常妊娠期间犬母体和胎儿动脉的多普勒超声检查。

Doppler ultrasonography of canine maternal and fetal arteries during normal gestation.

作者信息

Nautrup C P

机构信息

Centre of Anatomy, Medical School of Hannover, Germany.

出版信息

J Reprod Fertil. 1998 Mar;112(2):301-14. doi: 10.1530/jrf.0.1120301.

Abstract

Two-dimensional ultrasonography was used in combination with colour-flow imaging and pulsed wave Doppler ultrasonography to study the maternal circulation and the development of fetal vascularization in six Beagles during normal gestation. For the first time, the development of the circulation was demonstrated in the bitch and her fetuses intra vitam. The bloodstream was examined in small uteroplacental arteries, the umbilical artery, the fetal aorta and the common carotid artery. The duration of the study was from week 3 after insemination until birth. Relatively large vessels were detected by cross-sectional ultrasonography, and small vessels were detected by colour-flow imaging. In pulsed wave Doppler ultrasonography, the blood flow was measured and described using the parameters of systolic peak velocity, diastolic peak velocity, end-diastolic velocity, pulsatility index, resistance index, A:B ratio (systolic peak velocity:end-diastolic velocity) and S:D parameter (systolic peak velocity:diastolic peak velocity). The development of the measured parameters is typical and similar to that in humans. The systolic peak velocity of the canine maternal uteroplacental arteries shows important differences in comparison with humans. The pulsatility index, resistance index and A:B ratio decrease in nearly all vessels. Only the fetal common carotid artery has constant pulsatility and resistance indices during gestation. For the first time, the quality and quantity of the normal blood flow have been monitored during the whole of gestation. A normal circulation is fundamental for supplying the fetus adequately with oxygen and nutrients and thus for physiological development. These ultrasonographic results are the basis for further clinical studies.

摘要

采用二维超声检查结合彩色血流成像和脉冲波多普勒超声检查,对6只正常妊娠的比格犬的母体循环和胎儿血管形成发育情况进行研究。首次在母犬及其胎儿活体状态下展示了循环系统的发育过程。检测了子宫胎盘小动脉、脐动脉、胎儿主动脉和颈总动脉内的血流情况。研究持续时间从授精后第3周直至分娩。通过横断面超声检查检测相对较大的血管,通过彩色血流成像检测较小的血管。在脉冲波多普勒超声检查中,利用收缩期峰值速度、舒张期峰值速度、舒张末期速度、搏动指数、阻力指数、A:B比值(收缩期峰值速度:舒张末期速度)和S:D参数(收缩期峰值速度:舒张期峰值速度)等参数测量并描述血流情况。所测参数的发育情况具有典型性且与人类相似。犬类母体子宫胎盘动脉的收缩期峰值速度与人类相比存在重要差异。几乎所有血管的搏动指数、阻力指数和A:B比值均下降。只有胎儿颈总动脉在妊娠期间搏动指数和阻力指数保持恒定。首次在整个妊娠期监测了正常血流的质量和数量。正常循环对于为胎儿充分提供氧气和营养物质从而实现生理发育至关重要。这些超声检查结果是进一步临床研究的基础。

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