The Progress of Ultrasound Diagnosis of Fetal Growth Restriction

doi:10.12280/gjfckx.20201231

Abstract

Abstract:

Fetal growth restriction (FGR) is the main cause of death and frailty of modern perinatal infants. It not only affects the development of the fetus in the mother′s body, but also directly affects the prognosis of the fetus without timely intervention. The advantages of simplicity, safety, and non-radiation promote the application of ultrasound to the detection of fetuses during pregnancy. With the development of ultrasound technology, the development of the fetus can be evaluated in many aspects from structure to function. This article reviews the progress of ultrasound diagnosis of FGR from the aspects of measuring fetal diameter, hemodynamic parameters, placental volume, thymus volume, cerebellar transverse diameter, brain-placental ratio and adrenal volume under ultrasound, and provides a reliable basis for clinical diagnosis and treatment.

Key words: Fetal growth retardation, Ultrasonography, Ultrasonography,prenatal, Ultrasonography,Doppler,color, Umbilical arteries, Thymus gland

WANG Can, HUANG Meng. The Progress of Ultrasound Diagnosis of Fetal Growth Restriction[J]. Journal of International Obstetrics and Gynecology, 2021, 48(5): 508-511.

References 20

[1]	孙秀丽, 倪国语. 宫内生长受限胎儿超声心动图血流动力学参数的临床意义[J]. 中国妇幼保健, 2018,33(2):434-435. doi: 10.7620/zgfybj.j.issn.1001-4411.2018.02.66. doi: 10.7620/zgfybj.j.issn.1001-4411.2018.02.66
[2]	焦立媛, 王华, 武硕. 胎儿生长受限的病因研究进展[J]. 国际妇产科学杂志, 2018,45(1):10-13. doi: 10.3969/j.issn.1674-1870.2018.01.002. doi: 10.3969/j.issn.1674-1870.2018.01.002
[3]	吴艳欣, 王子莲. 胎儿生长受限的宫内监护方法及评价[J]. 中国实用妇科与产科杂志, 2020,36(8):698-702. doi: 10.19538/j.fk2020080108. doi: 10.19538/j.fk2020080108
[4]	徐平平, 石启明. 子宫动脉与静脉导管多普勒血流频谱在胎儿生长受限中的临床应用[J]. 中国中西医结合影像学杂志, 2020,18(5):499-501. doi: 10.3969/j.issn.1672-0512.2020.05.019. doi: 10.3969/j.issn.1672-0512.2020.05.019
[5]	陆会玲, 孙临华, 张利, 等. 超声血流参数测量在预测胎儿宫内发育迟缓中的应用[J]. 广西医科大学学报, 2018,35(10):1368-1371. doi: 10.16190/j.cnki.45-1211/r.2018.10.010. doi: 10.16190/j.cnki.45-1211/r.2018.10.010
[6]	钟海燕, 罗文斌, 王冬菊, 等. 早中孕期联合筛查对胎儿生长受限的风险评估与预测[J]. 国际妇产科学杂志, 2018,45(6):696-699. doi: 10.3969/j.issn.1674-1870.2018.06.020. doi: 10.3969/j.issn.1674-1870.2018.06.020
[7]	Arakaki T, Hasegawa J, Nakamura M, et al. First-trimester measurements of the three-dimensional ultrasound placental volume and uterine artery Doppler in early- and late-onset fetal growth restriction[J]. J Matern Fetal Neonatal Med, 2020,33(4):564-569. doi: 10.1080/14767058.2018.1497601. doi: 10.1080/14767058.2018.1497601
[8]	Yücel B, Gedikbasi A, Dündar O, et al. The utility of first trimester uterine artery Doppler, placental volume and PAPP-A levels alone and in combination to predict preeclampsia[J]. Pregnancy Hypertens, 2016,6(4):269-273. doi: 10.1016/j.preghy.2016.04.007. doi: 10.1016/j.preghy.2016.04.007
[9]	González-González NL, González Dávila E, Padrón E, et al. Value of Placental Volume and Vascular Flow Indices as Predictors of Early and Late Preeclampsia at First Trimester[J]. Fetal Diagn Ther, 2018,44(4):256-263. doi: 10.1159/000481433. doi: 10.1159/000481433 pmid: 29393218
[10]	Soongsatitanon A, Phupong V. First trimester 3D ultrasound placental volume for predicting preeclampsia and/or intrauterine growth restriction[J]. J Obstet Gynaecol, 2019,39(4):474-479. doi: 10.1080/01443615.2018.1529152. doi: 10.1080/01443615.2018.1529152 pmid: 30585097
[11]	邬彩虹, 郑艳芬, 任海波. 二维和三维超声测量胎儿胸腺在胎儿宫内生长迟缓时的应用效果分析[J]. 世界复合医学, 2019,5(5):47-49,65. doi: 10.11966/j.issn.2095-994X.2019.05.05.16. doi: 10.11966/j.issn.2095-994X.2019.05.05.16
[12]	Ekin A, Gezer C, Taner CE, et al. Prognostic Value of Fetal Thymus Size in Intrauterine Growth Restriction[J]. J Ultrasound Med, 2016,35(3):511-517. doi: 10.7863/ultra.15.05039. doi: 10.7863/ultra.15.05039
[13]	Atallah A, Guibaud L, Gaucherand P, et al. Fetal and perinatal outcome associated with small cerebellar diameter based on second- or third-trimester ultrasonography[J]. Prenat Diagn, 2019,39(7):536-543. doi: 10.1002/pd.5465. doi: 10.1002/pd.5465
[14]	DeVore GR. The importance of the cerebroplacental ratio in the evaluation of fetal well-being in SGA and AGA fetuses[J]. Am J Obstet Gynecol, 2015,213(1):5-15. doi: 10.1016/j.ajog.2015.05.024. doi: 10.1016/j.ajog.2015.05.024
[15]	Helfer TM, Rolo LC, Okasaki NA, et al. Reference ranges of fetal adrenal gland and fetal zone volumes between 24 and 37+6 weeks of gestation by three-dimensional ultrasound[J]. J Matern Fetal Neonatal Med, 2017,30(5):568-573. doi: 10.1080/14767058.2016.1178226. doi: 10.1080/14767058.2016.1178226
[16]	Szabó G, Szarka A, Rudas G, et al. Ultrasound diagnosis of fetal adrenal hemorrhage[J]. Orv Hetil, 2019,160(52):2073-2078. doi: 10.1556/650.2019.31578. doi: 10.1556/650.2019.31578
[17]	Hoffman MK, Turan OM, Parker CB, et al. Ultrasound Measurement of the Fetal Adrenal Gland as a Predictor of Spontaneous Preterm Birth[J]. Obstet Gynecol, 2016,127(4):726-734. doi: 10.1097/AOG.0000000000001342. doi: 10.1097/AOG.0000000000001342
[18]	Farzad Mohajeri Z, Aalipour S, Sheikh M, et al. Ultrasound measurement of fetal adrenal gland in fetuses with intrauterine growth restriction, an early predictive method for adverse outcomes[J]. J Matern Fetal Neonatal Med, 2019,32(9):1485-1491. doi: 10.1080/14767058.2017.1410125. doi: 10.1080/14767058.2017.1410125 pmid: 29251009
[19]	陆海岚, 李琳, 吴鹏西, 等. 胎儿肾上腺动脉彩色多普勒血流参数预测分娩发动时间的价值分析[J]. 临床超声医学杂志, 2019,21(9):700-702. doi: 10.3969/j.issn.1008-6978.2019.09.020. doi: 10.3969/j.issn.1008-6978.2019.09.020
[20]	Contag S, Visentin S, Goetzinger K, et al. Use of the Renal Artery Doppler to Identify Small for Gestational Age Fetuses at Risk for Adverse Neonatal Outcomes[J]. J Clin Med, 2021,10(9):1835. doi: 10.3390/jcm10091835. doi: 10.3390/jcm10091835