胎儿腹腔囊肿超声评估指标的构建及产前超声特征与临床转归的关系

Construction of ultrasound assessment index for fetal celiac cysts and the relationship between prenatal ultrasound features and clinical outcome

目的研究胎儿腹腔囊肿超声评估指标的构建及产前超声特征与临床转归的关系。方法回顾性选取2017年6月~2021年1月在我院诊断并进行治疗的胎儿腹腔囊肿患者75例作为观察组,另选取同期进行健康体检的正常孕产妇75例作为对照组,分析观察组患者腹腔内囊肿的病源之间的差异,分析不同孕周的腹腔内囊肿的病源之间的差异,研究阻力指数(RI)、搏动指数(PI)、收缩期峰值流速(PSV)、舒张末期流速(EDV)与产后囊肿的可见的相关性。结果通过超声诊断情况分析,胎儿腹腔的囊肿主要分布在胃肠道、肠系膜、卵巢、泌尿生殖系统、肝胆系统,不同孕周胃肠道、肠系膜、卵巢、泌尿生殖系统、肝胆系统、脐部、腹膜后情况之间的差异存在统计学意义,随着患者的孕周的升高,患者的胃肠道、肠系膜、卵巢、泌尿生殖系统、肝胆系统、脐部、腹膜后发生情况升高,观察组患者的RI(t=42.274,P<0.001)、PI(t=15.047,P<0.001)低于对照组,PSV(t=36.950,P<0.001)、EDV(t=10.523,P<0.001)高于对照组,囊肿消失患者的卵巢、泌尿生殖系统的囊肿高于其他位置,可见组患者的RI(t=3.354,P=0.001)、PI(t=4.652,P<0.001)低于消失组,PSV(t=9.795,P<0.001)、EDV(t=8.914,P<0.001)高于消失组,通过相关性分析,患者的RI、PI与产后囊肿消失呈现负相关,与PSV、EDV呈现正相关。结论胎儿腹腔囊肿超声评估指标与临床转归呈现显著的相关性。

Objective To explore the construction of ultrasound assessment index for fetal celiac cysts and the relationship between prenatal ultrasound features and clinical outcome.Methods Seventy-five patients with fetal celiac cysts diagnosed and treated in our hospital from June 2017 to January 2021 were selected as the observation group,and another 75 normal pregnant women who underwent physical examination during the same period were selected as the control group.We analyzed the differences in the sources of intraperitoneal cysts in the observation group,and the differences between the pathogenic stents of intraperitoneal cysts at different gestational weeks were analyzed to explore and the correlation between resistance index(RI),pulsatility index(PI),peak systolic velocity(PSV),end diastolic velocity(EDV)and the visibility of postpartum cysts were analyzed.Results Based on the analysis of the ultrasonic diagnosis,the differences between the gastrointestinal tract,mesenteric,ovarian cyst,urogenital system,liver and gallbladder system,different gestational age of gastrointestinal tract,mesenteric,ovarian,urogenital system,liver and gallbladder,navel,retroperitoneal,at different gestational weeks were statistically significant,and as the gestational weeks of the patients increased,the incidence of gastrointestinal tract,mesentery,ovary,genitourinary system,hepatobiliary system,umbilical cord,retroperitoneum,was significantly increased.RI(t=42.274,P<0.001)and PI(t=15.047,P<0.001)in the observation group were significantly lower than those in control group,and PSV(t=36.950,P<0.001),EDV(t=10.523,P<0.001)were significantly higher than the control group.The cysts of ovary and genitourinary system in patients with cyst disappearance were significantly higher than that in other locations.RI(t=3.354,P=0.001)and PI(t=4.652,P<0.001)in patients with cyst disappearance was significantly lower than that in the control group.PSV(t=9.795,P<0.001)and EDV(T=8.914,P<0.001)were significantly higher than those in the disappearing group.Correlation analysis showed that RI and PI were negatively correlated with disappearance of postpartum cysts disappearance,and positively correlated with PSV and EDV.Conclusion Ultrasonographic evaluation of fetal celiac cyst shows a significant correlation with clinical outcome.