Evaluation of renal perfusion in pregnant women with severe preeclampsia by three-dimensional power Doppler ultrasound

doi:10.3877/cma.j.issn.1672-6448.2018.08.009

Abstract

Abstract:

Objective

To investigate the value of three-dimensional power Doppler ultrasound (3D-PDUS) in estimating renal perfusion in pregnant women with severe preeclampsia.

Methods

From June 2016 to August 2017, 3D-PDUS and Virtual Organ Computer-aided Analysis (VOCAL) technique were applied in 34 pregnant women with severe preeclampsia (observation group) and 36 normal pregnant women (control group) in Jiangyin people's Hospital. Parameters for renal perfusion, including vascular index (VI), vascularization flow index (VFI) and blood flow index (FI), were calculated and compared between the two groups.

Results

Both VI [(48.211±7.369)% vs (60.751±5.893)%, t=7.835, P<0.01] and VFI (11.753±1.743 vs 16.273±2.749, t=8.264, P<0.01) showed statistically significant difference between severe preeclampsia group and control group. The results indicated that renal perfusion decreased in severe preeclampsia. There was no statistically significant difference for FI between the observation group and the normal group.

Conclusion

3D-PDUS technique plays an important role in evaluating renal perfusion in pregnant women with severe preeclampsia.

Key words: Ultrasonography, three dimensional power Doppler, Severe preeclampsia, Kidney

Jie Zhang, Xuedong Deng, Linliang Yin, Qin Xue. Evaluation of renal perfusion in pregnant women with severe preeclampsia by three-dimensional power Doppler ultrasound[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(08): 612-615.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2018.08.009

https://chaosheng.cma-cmc.com.cn/EN/Y2018/V15/I08/612

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References 15

1	谢幸，苟文丽. 妇产科学 [M]. 北京: 人民卫生出版社, 2013: 113-122.
2	中华医学会妇产科学分会妊娠期高血压疾病学组. 妊娠期高血压疾病诊治指南(2015) [J]. 中华妇产科杂志, 2015, 50(10):721-728.
3	Sircar M, Thadhani R, Karumanchi SA. Pathogenesis of preeclampsia [J]. Curr Opin Nephrol Hypertens, 2015, 24(2):131-138.
4	Mol BWJ, Roberts CT, Thangaratinam S, et al. Pre-eclampsia [J]. Lancet, 2016, 387(10022):999-1011.
5	庄旭. 尿蛋白在子痫前期诊断中的价值 [J]. 实用妇产科杂志, 2016, 32(7):500-502.
6	马小卿，吴青青，李萍, 等. 三维能量彩色多普勒超声用于检测子痫前期孕妇胎盘组织血流灌注的价值 [J]. 中华妇产科杂志, 2009, 44(3):179-182.
7	Neto RM, Ramos JG. 3D power Doppler ultrasound in early diagnosis of preeclampsia [J]. Pregnancy Hypertens, 2016, 6(1):10-16.
8	Van Hook JW. Acute kidney injury during pregnancy [J]. Clin Obstet Gynecol, 2014, 57(4):851-861.
9	August P. Preeclampsia: a ″nephrocentric″ view [J]. Adv Chronic Kidney Dis, 2013, 20(3):280-286.
10	刘锐洪，孙彬录，何晶玲. 不同感兴趣区选位对健康实验兔肾超声造影效果分析的影响 [J/CD]. 中华医学超声杂志(电子版), 2016, 13(1):66-72.
11	Christensen T, Klebe JG, Bertelsen V, et al. Changes in renal volume during normal pregnancy [J]. Acta Obstet Gynecol Scand, 1989, 68(6):541-543.
12	Stillman IE, Karumanchi SA. The glomerular injury of preeclampsia [J]. J Am Soc Nephrol, 2007, 18(8):2281-2284.
13	王志辉，杨好意. 彩色多普勒超声在评估移植肾血管解剖及并发症方面的应用 [J]. 华中科技大学学报(医学版), 2015, 44(3):349-352.
14	刘春蕊. 超声检查新技术在慢性肾脏病诊断中的应用 [J]. 肾脏病与透析肾移植杂志, 2015, 24(6):551-556.
15	彭彦卿，吕亚儿，杜佩. 重度宫腔粘连患者腔镜治疗前后子宫内膜血流变化的三维能量多普勒超声监测 [J]. 临床超声医学杂志, 2017, 19(12):824-826.

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