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中华妇幼临床医学杂志(电子版) ›› 2023, Vol. 19 ›› Issue (03) : 256 -260. doi: 10.3877/cma.j.issn.1673-5250.2023.03.002

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超声弹性成像评价胎儿生长受限的研究现状
魏宇婷, 罗红()   
  1. 四川大学华西第二医院超声科、出生缺陷与相关妇儿疾病教育部重点实验室,成都 610041
  • 收稿日期:2022-09-30 修回日期:2023-03-03 出版日期:2023-06-01
  • 通信作者: 罗红

Current research status of ultrasound elastography on evaluation of fetal growth restriction

Yuting Wei, Hong Luo()   

  1. Department of Ultrasound, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2022-09-30 Revised:2023-03-03 Published:2023-06-01
  • Corresponding author: Hong Luo
  • Supported by:
    National Key Research and Development Plan Project(2017YFC0113905)
引用本文:

魏宇婷, 罗红. 超声弹性成像评价胎儿生长受限的研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2023, 19(03): 256-260.

Yuting Wei, Hong Luo. Current research status of ultrasound elastography on evaluation of fetal growth restriction[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 256-260.

胎儿生长受限(FGR)是常见妊娠并发症,是指胎儿估测体重低于正常同胎龄胎儿体重的第10百分位数,子宫-胎盘灌注不良和胎儿营养不良是FGR的常见发病机制,准确识别FGR合并异常胎盘功能对改善胎儿预后有重要意义。超声弹性成像(USE)能获得胎盘硬度信息,可作为二维超声和多普勒超声测量的补充成像评价FGR,目前研究证实胎盘硬度与胎儿出生体重具有一定相关性。USE具有无创、迅速、重复性好等特点,有望成为评价FGR及胎儿预后的新方法。笔者拟对USE的技术基本原理及其评价FGR的最新研究进展进行阐述。

Fetal growth restriction (FGR) is a common complication of pregnancy, It is usually defined as estimated fetal weight below the 10th percentile of normal fetal weight of the same gestational age. Uterine placental hypoperfusion and fetal malnutrition are common pathogenesis of FGR. Precise identification of FGR with abnormal placental function is of great significance for improving fetal prognosis. Ultrasound elastography (USE) can obtain information of placental stiffness, which can be used as a complementary imaging evaluation of FGR by two-dimensional ultrasound and Doppler ultrasound measurement. It has been confirmed that placenta stiffness had correlation with the fetal birth weight. USE has the characteristics of non-invasive, rapid and repeatable, and is expected to become a new method for evaluating FGR and fetal prognosis. This article reviews the latest research status of technical fundamentals of USE and its evaluation on FGR.

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