2016•Unpublished venueRequires access
Diagnosis judgment values of trimester ultrasound screening for simple single umbilical artery fetal malformation
Jianjun Yang, Hongfang Jiang
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Abstract
Objective
To investigate the diagnosis judgment values of trimester ultrasound screening for simple single umbilical artery fetal malformation.
Methods
From January 2011 to January 2015, selected the 15-28 weeks pregnant singleton pregnancies in Shunyi Hospital of Beijing Chinese Medicine Hospital for system fetal ultrasound, in which the single umbilical artery group of 50 patients, 50 cases of healthy pregnant women(control group), the two groups were carried ultrasound screening with single umbilical artery flow spectrum analysis, and observed the prognosis.
Results
The single umbilical artery fetal bladder after abdominal oblique horizontal cross-section of the umbilical artery bypass saw one side of the bladder, and there were 24 patients the malformations with the incidence rate was 48.0%.In the two groups can be clearly demonstrated umbilical artery condition, but the umbilical artery pulsation index(PI), arterial resistance index(RI) and peak valley ratio of umbilical artery blood flow velocity(S/D) value in the single umbilical artery group were 1.02±0.17, 0.66±0.06 and 3.08±0.57, significantly higher than those of the control group(0.75±0.21, 0.53±0.08, 2.11±0.27; t=7.298, 11.874, 15.983, P<0.05). In the single umbilical artery group, there were 32 patients of abortion, 10 patients of birth were, 8 patients ogpregnancy.Perinatal death in 8 cases, the mortality rate was 16.0%, the single umbilical artery fetal malformations of perinatal mortality was significantly higher than that of children with simple single fetal umbilical artery(χ2=9.333, P<0.05).
Conclusion
Trimester ultrasound screening for single umbilical artery combined with simple two-dimensional ultrasound and umbilical artery blood flow velocity conditions can improve fetal malformations value judgment, provide a reliable detection method to reduce perinatal mortality.
Key words:
Ultrasound; Single umbilical artery; Fetal malformation; Perinatal death