Efficacy and Significance of Predicting Fetal Intrauterine Growth Restriction Based on Ultrasound Detection of S/D, IFI and CPR

doi:10.7517/issn.1674-0475.210902

Abstract

Abstract: In this paper, the ultrasound detection of cord blood flow during systolic maximum blood flow peak/diastolic minimum blood flow peak (S/D), fetal aortic isthmus blood flow index (IFI), brain placental rate (CPR) to predict fetal intrauterine growth restriction (IUGR) efficacy and significance were studied. A total of 498 pregnant women who underwent prenatal check-ups were selected as the research objects. According to whether IUGR occurred, they were divided into IUGR group (n=33) and no IUGR group (n=465). The baseline data of the two groups were compared. S/D, IFI, CPR, estimation fetal weight (EFW), and statistical analysis of the data. The results showed that the S/D (2.90±0.52) of the IUGR group was higher than that of the no IUGR group (P<0.05), and the IFI (0.75±0.44), CPR (1.18±0.38), and EFW [(2169.33±483.05)g] were lower than those without IUGR (P<0.05) in the IUGR group; S/D was negatively correlated with EFW, and IFI, CPR and EFW were positively correlated (P<0.05). After the control of hypertension and EFW during pregnancy, S/D, IFI and CPR were still related to the occurrence of IUGR (P<0.05). Therefore, the combined detection of S/D, IFI, CPR, and EFW by ultrasound can be used as an effective program to evaluate IUGR, and provide a reference for clinical diagnosis and treatment.

Key words: ultrasound, S/D, IFI, CPR, fetal intrauterine growth restriction

BAI Yanhong, RAO Hongjie, LI Min. Efficacy and Significance of Predicting Fetal Intrauterine Growth Restriction Based on Ultrasound Detection of S/D, IFI and CPR[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(2): 243-247.

References

[1] 中华医学会围产医学分会胎儿医学学组,中华医学会妇产科学分会产科学组. 胎儿生长受限专家共识(2019版)[J]. 中华围产医学杂志,2019,22(6):361-380.
[2] American College of Obstetricians and Gynecologists Committee on Practice Bulletins-Obstetrics,Society for Maternal-Fetal Medicine Publications Committee.Fetal Growth Restriction:ACOG Practice Bulletin,Number 227[J]. Obstetrics and Gynecology,2021,137(2):e16-e28.
[3] Society for Maternal-Fetal Medicine (SMFM). Society for maternal-fetal medicine consult series #52:Diagnosis and management of fetal growth restriction:(Replaces Clinical Guideline Number 3,April 2012)[J]. American Journal of Obstetrics and Gynecology,2020,223(4):B2-B17.
[4] 李慎,李亚宏,丁利霞. 超声测定脐血流S/D值对诊断胎儿宫内缺氧的临床价值[J]. 贵州医药,2019,43(7):1152-1153.
[5] Salomon L,Alfirevic Z,Da Silva Costa F,et al. ISUOG Practice Guidelines:Ultrasound assessment of fetal biometry and growth[J]. Ultrasound in Obstetrics & Gynecology,2019,53(6):715-723.
[6] Villalaín C,Herraiz I,Quezada M S,et al. Prognostic value of the aortic isthmus Doppler assessment on late onset fetal growth restriction[J]. Journal of Perinatal Medicine,2019,47(2):212-217.
[7] Choudhary P,Malik A,Batra A. Cerebroplacental ratio and aortic isthmus Doppler in early fetal growth restriction[J]. Journal of Clinical Ultrasound,2021,49(7):754-761.
[8] Vollgraff Heidweiller-Schreurs C,van Osch I,Heymans M,et al. Cerebroplacental ratio in predicting adverse perinatal outcome:a meta-analysis of individual participant data[J]. BJOG:an International Journal of Obstetrics & Gynaecology,2021,128(2):226-235.
[9] Bonnevier A,Maršál K,Brodszki J,et al. Cerebroplacental ratio as predictor of adverse perinatal outcome in the third trimester[J]. Acta Obstetricia et Gynecologica Scandinavica,2021,100(3):497-503.
[10] 安黎明,蔡冬燕,史秀丽,等. 妊娠期糖尿病孕妇脐血流S/D比值和超声参数Z-评分对宫内生长受限胎儿的预测价值[J]. 川北医学院学报,2020,35(4):633-636.
[11] 张蓓,闫辉波. 孕妇血雌三醇及脐动脉血流S/D比值检查对胎儿窘迫诊断的价值[J]. 血栓与止血学,2019,25(1):23-26.
[12] 庞远,李海朋,董亚男,等. 妊娠特异性β1糖蛋白及脐动脉血流S/D值在妊娠晚期胎儿-胎盘监测中的价值[J]. 临床和实验医学杂志,2019,18(4):436-439.
[13] 茹香玉,刘效影,唐胜利,等. 孕中期血清学指标联合孕晚期脐血流S/D值预测胎儿生长受限的可行性分析[J]. 解放军医学院学报,2020,41(9):876-880.
[14] 罗兵,董凤群,王义成,等. 多普勒超声检测羊水过少胎儿主动脉峡部血流参数的价值[J]. 中国超声医学杂志,2020,36(6):540-542.
[15] 林深,王诗雅,罗舒榆. 超声心动图对胎儿主动脉弓峡部血流的频谱分析[J]. 医学影像学杂志,2021,31(1):43-46,54.
[16] 邱淑萍. 孕中期胎儿主动脉峡部血流超声检测对胎儿生长受限的诊断价值研究[J]. 现代实用医学,2019,31(5):632-634.
[17] Liu Y S,Zeng S,Tan Y,et al. Cerebral blood flow dynamic in foetuses with hypoplastic left heart syndrome:Incremental value of the first segment of the anterior cerebral artery over the middle cerebral artery?[J]. Prenatal Diagnosis,2020,40(2):216-222.
[18] Melekoglu R,Yilmaz E,Yasar S,et al. The ability of various cerebroplacental ratio thresholds to predict adverse neonatal outcomes in term fetuses exhibiting late-onset fetal growth restriction[J]. Journal of Perinatal Medicine,2021,49(2):209-215.
[19] Ciobanu A,Wright A,Syngelaki A,et al. Fetal medicine foundation reference ranges for umbilical artery and middle cerebral artery pulsatility index and cerebroplacental ratio[J]. Ultrasound in Obstetrics & Gynecology,2019,53(4):465-472.