全自动胎儿肺部超声分析预测妊娠晚期胎儿肺成熟度的研究

doi:10.3969/j.issn.1007-3205.2022.10.016

河北医科大学学报 ›› 2022, Vol. 43 ›› Issue (10): 1192-1196.doi: 10.3969/j.issn.1007-3205.2022.10.016

全自动胎儿肺部超声分析预测妊娠晚期胎儿肺成熟度的研究

1.河北中石油中心医院超声医学科，河北廊坊 065000；2.河北中石油中心医院产科，河北廊坊 065000

出版日期:2022-10-25 发布日期:2022-11-16
作者简介:董亚青(1985-)，女，河北廊坊人，河北中石油中心医院主治医师，医学学士，从事妇儿超声专业研究。
基金资助:
廊坊市科学技术研究与发展计划项目（2020013132）

Prediction of fetal lung maturity in late pregnancy by automatic ultrasound analysis of the fetal lung

1.Department of Ultrasound Medicine, Hebei Petro China Central Hospital, Langfang 065000, China;
2.Department of Obstetrics, Hebei Petro China Central Hospital, Langfang 065000, China

Online:2022-10-25 Published:2022-11-16

摘要/Abstract

摘要： 目的探讨全自动胎儿肺部超声分析预测妊娠晚期胎儿肺成熟度的应用价值。
方法选取在我院分娩的80例单胎孕妇，给予全自动胎儿肺部超声分析，比较新生儿呼吸窘迫综合征（neonatal respiratory distress syndrome，NRDS)和非NRDS肺部超声参数差异。
结果 80例新生儿中，有34例发生NRDS；NRDS新生儿左肺容积（left lung volume，LLV）、右肺容积（right lung volume，RLV）、总肺容积（total lung volume，TLV）和TLV/体质量比值（fetal lung to body weight ratio，FLB）分别为（33.03±3.75）cm3、（44.07±3.16）cm3、（75.57±4.69）cm3和（0.25±0.04）cm3/10 g，明显低于非NRDS新生儿（35.12±2.84）cm3、（46.68±3.19）cm3、（81.95±6.03）cm3和（0.28±0.05）cm3/10 g。（P＜0.05）。NRDS新生儿肺动脉血流参数搏动指数(pulsatile index,PI）和阻力指数（resistance index,RI）分别为（2.14±0.29）和（0.92±0.12），明显高于非NRDS新生儿（2.00±0.28）和（0.83±0.08）（P＜0.05）。PI、RI与LLV、RLV、TLV无明显相关性（P＞0.05），而PI、RI与FLB呈负相关（r=-0.485,-0.401，P＜0.05）。全自动胎儿肺部超声预测胎儿肺成熟的敏感度、特异度、准确度、阳性预测值和阴性预测值分别为91.18%、91.30%、91.25%、88.57%和93.33%。
结论全自动胎儿肺部超声分析能有效预测妊娠晚期胎儿肺成熟度，值得临床使用。

关键词: 妊娠末期, 胎儿肺成熟度, 超声检查

Abstract: Objective To explore the application value of automatic ultrasound analysis of the fetal lung in predicting fetal lung maturity in late pregnancy.
Methods A total of 80 singleton pregnant women delivered in our hospital were given automatic ultrasound analysis of the fetal lung to compare the differences of pulmonary ultrasound parameters between neonatal respiratory distress syndrome(NRDS) and non-NRDS.
Results Among 80 newborns, 34 cases developed NRDS. The left lung volume(LLV), right lung volume(RLV), total lung volume(TLV) and fetal lung to body weight ratio(FLB) of NRDS newborns were (33.03±3.50) cm3,（44.07±3.16）cm3,（75.57±4.69）cm3and （0.25±0.04）cm3/10 g, respectively, which were significantly lower than those of non NRDS newborns ［(35.12±2.84) cm3, (46.68±3.19) cm3, (81.95±6.03) cm3 and (0.28±0.05) cm3/10 g, respectively］. (P＜0.05). The pulsatile index (PI) and resistance index (RI) of pulmonary artery blood flow parameters in NRDS newborns were (2.14±0.29) and (0.92±0.12) respectively, which were significantly higher than those in non-NRDS newborns ［(2.00±0.28) and (0.83±0.08)］(P＜0.05). There was no significant correlation between PI, RI and LLV, RLV and TLV (P＞0.05), but there was a negative correlation between PI, RI and FLB (r=-0.485 and -0.401, P＜0.05). The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of automatic ultrasound of the fetal lung in predicting fetal lung maturity were 91.18%, 91.30%, 91.25%, 88.57% and 93.33%, respectively.
Conclusion Automatic ultrasound analysis of the fetal lung can effectively predict fetal lung maturity in late pregnancy, which is worthy of clinical use.

Key words: late pregnancy, ultrasonography, fetal lung maturity

董亚青, 高志敏, 徐然, 陈立芳, 袁静, 王明荣. 全自动胎儿肺部超声分析预测妊娠晚期胎儿肺成熟度的研究 [J]. 河北医科大学学报, 2022, 43(10): 1192-1196.

DONG Ya-qing, GAO Zhi-min, XU Ran, CHEN Li-fang, YUAN Jing, WANG Ming-rong. Prediction of fetal lung maturity in late pregnancy by automatic ultrasound analysis of the fetal lung [J]. Journal of Hebei Medical University, 2022, 43(10): 1192-1196.

[1]	樊秀梅, 杨丽, 赵岗, 霍森烨, 冷慧敏. 超声评估子宫内膜下的RI、PI、PSV值预测不孕患者子宫内膜状况及卵巢储备功能的研究 [J]. 河北医科大学学报, 2023, 44(9): 1047-1052.
[2]	董亚青, 高志敏, 徐然, 陈立芳, 袁静, 王明荣. 新生儿肺部超声在早产儿肺部感染评价中的价值 [J]. 河北医科大学学报, 2022, 43(9): 1047-1051.
[3]	于冬, 温莉, 张涛, 郭妍, 金城, 孟现军. 2型糖尿病胫神经病变超声特征的ROC曲线分析[J]. 河北医科大学学报, 2021, 42(9): 1032-1036.
[4]	杨昕宇, 叶茜, 郭江. 超声omniview技术联合血清AFP、ApPrx2诊断胎儿神经管缺陷的价值及临床意义[J]. 河北医科大学学报, 2021, 42(11): 1307-1311.
[5]	夏雪, 薛梅, 杨春燕, 马将, 么学靖. 超声引导肌肉注射A型肉毒毒素治疗脑卒中后上肢痉挛[J]. 河北医科大学学报, 2021, 42(10): 1194-1197.
[6]	余兰, 藏汉青, 伟乃莲. miR-145、ABCD2评分联合动脉超声对TIA患者进展为脑梗死的风险评估价值分析[J]. 河北医科大学学报, 2021, 42(10): 1139-1143.
[7]	史敏;刘永春;李彦会. 妊娠后期妇女部分凝血指标的观察[J]. , 2006, 27(2): 127-127.
[8]	李晓辉. 妊娠41周母婴高危程度的探讨[J]. , 2000, 21(3): 166-166.

全自动胎儿肺部超声分析预测妊娠晚期胎儿肺成熟度的研究

Prediction of fetal lung maturity in late pregnancy by automatic ultrasound analysis of the fetal lung

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 8

编辑推荐

Metrics

本文评价