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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Discrepancy in Doppler waveforms between two umbilical arteries in fetuses with absent or reversed end‐diastolic flow: A prospective observational study
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Discrepancy in Doppler waveforms between two umbilical arteries in fetuses with absent or reversed end‐diastolic flow: A prospective observational study

机译:胎儿两种脐带之间的多普勒波形的差异缺乏或逆转的末端舒张流量:一项前瞻性观察研究

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Abstract Purpose To asses the occurrence of discrepancies between the Doppler waveforms of the left and right umbilical arteries in their paravesical part in fetuses with absent or reversed end‐diastolic flow in the free‐floating umbilical cord. Methods This prospective observational study included pregnant women with fetal growth restriction or twin‐to‐twin transfusion syndrome. Umbilical arterial Doppler waveforms were obtained from both umbilical arteries in their intra‐abdominal paravesical part. Doppler findings were recorded as present end‐diastolic flow (PEDF)/absent end‐diastolic flow (AEDF); AEDF/AEDF; AEDF/reversed end‐diastolic flow (REDF); or REDF/REDF pattern. Results There were 49 fetuses with AEDF or REDF at the free‐floating umbilical cord. Of these, 20 (40.8%) had a discrepancy in Doppler waveforms between the two umbilical arteries, with 14 (28.6%) showing PEDF/AEDF, 17 (34.7%) AEDF/AEDF, 6 (12.2%) AEDF/REDF, and 12 (24.5%) REDF/REDF pattern. Conclusion Doppler waveforms showed discrepancies between the two umbilical arteries in 40.8% of pregnant women with AEDF or REDF in the free‐floating umbilical cord. The presence of end‐diastolic flow in one umbilical artery cannot exclude the possibility of AEDF in the other.
机译:摘要目的是在自由或反向的脐带中,在胎儿中左右脐动脉的左右脐动脉的多普勒波形差异发生差异的发生。方法该前瞻性观测研究包括孕妇胎儿生长限制或双胞胎转移综合征。从腹部内常见的部分中的脐动脉中获得脐部动脉多普勒波形。将多普勒发现记录为现有的末端舒张流(PEDF)/不存在末端舒张流(AEDF); AEDF / AEDF; AEDF /逆转端舒张流(REDF);或redf / redf模式。结果AEDF或REDF在自由浮动脐带上有49胎。其中,20(40.8%)在两个脐动脉之间的多普勒波形中具有差异,具有14(28.6%)显示PEDF / AEDF,17(34.7%)AEDF / AEDF,6(12.2%)AEDF / REDF,和12(24.5%)REDF / REDF模式。结论多普勒波形在自由浮动脐带中,40.8%的孕妇患有40.8%的孕妇的两次脐动脉之间的差异。一个脐带动脉中的末端舒张流的存在不能排除另一个AEDF的可能性。

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