Placental three-dimensional power Doppler indices in mid-pregnancy and late pregnancy complicated by gestational diabetes mellitus
Abstract OBJECTIVES: The aim of our study was to evaluate placental three-dimensional power Doppler indices in diabetic pregnancies in the second and third trimester and to compare them with those of the normal controls. METHODS: Placental vascularisation of pregnant women were determined by...
Elmentve itt :
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| Dokumentumtípus: | Cikk |
| Megjelent: |
2013
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| Sorozat: | PRENATAL DIAGNOSIS
33 No. 10 |
| doi: | 10.1002/pd.4172 |
| mtmt: | 2331566 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/12627 |
| Tartalmi kivonat: | Abstract OBJECTIVES: The aim of our study was to evaluate placental three-dimensional power Doppler indices in diabetic pregnancies in the second and third trimester and to compare them with those of the normal controls. METHODS: Placental vascularisation of pregnant women were determined by three-dimensional power Doppler ultrasound technique. The calculated indices included vascularisation index, flow index and vascularisation flow index. Uncomplicated pregnancies (n = 113) were compared to pregnancies complicated by gestational diabetes mellitus (n = 56) and diabetes mellitus (n = 43). RESULTS: The three-dimensional power Doppler indices were not significantly different between the two diabetic subgroups. All the indices in diabetic patients were significantly reduced compared to those in non-diabetic individuals (p < 0.001). Placental three-dimensional power Doppler indices are slightly diminished throughout diabetic pregnancy (regression coefficients: -0.23 (FI), -0,06 (VI) and -0.04 (VFI) and normal pregnancy (regression coefficients: -0.13 (FI), -0,20 (VI) and -0.11 (VFI). The uteroplacental circulation (umbilical and uterine artery) was not correlated significantly to the three-dimensional power Doppler indices. If all placental indices are low during late pregnancy, then the odds of the diabetes is significantly high (adjusted odds ratio: 1.10). CONCLUSIONS: A decreased placental vascularisation could be an adjunct sonographic marker in the diagnosis of diabetic pregnancy in mid and late gestation This article is protected by copyright. All rights reserved |
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| Terjedelem/Fizikai jellemzők: | 952-958 |
| ISSN: | 0197-3851 |