Birinci trimester subkoryonik hematom boyutunun 2B ve 3B ultrason ölçüm tekniği ile ölçümünün olumsuz gebelik sonuçlarına etkisi var mıdır?

Yıl 2019, , 122 - 126, 01.12.2019

Sibel Özler , Başak Gümüş Güler

https://doi.org/10.25000/acem.586513

Öz

Amaç: Subkoryonik hematom (SKH) boyutunun 2B ve 3B ultrason ile
ölçülmesinin olumsuz gebelik sonuçlarına etkisini değerlendirmeyi amaçladık.

Yöntemler: Yüz elli sekiz SKH olan gebe çalışmaya alındı. SKH tanısı ilk
trimesterde, 6. ve 14. gebelik haftaları arasında, 2 ve 3 boyutlu
ultra-sonografik yöntemlerle konuldu. SKH olan gebelerin düşük, intrauterin
fetal ölüm [IUFÖ] ve preterm doğum [PD] gibi olumsuz gebelik sonuçları
belirlendi. SKH ile düşük, intrauterin fetal ölüm ve erken doğum arasındaki
ilişkiyi belirlemek için lojistik regresyon analizleri yapıldı.

Bulgular: Primipar ve multipar gebeler arasında vücut kitle indexi, 2B ultrasonografik
hematom boyutları, 3B ultrasonografik hematom boyutları ve gebelik sonuçları
açısından istatistiksel olarak anlamlı bir fark yoktu. SKH olan primiparlarda düşük/
IUFÖ hızı %4,6, PD hızı %6,9 ve miad doğum hızı %88,5 idi. SKH olan multiparlarda
ise düşük/ IUFÖ hızı %7, PD hızı %3,5 ve miad doğum hızı %89,5 idi. 2B ve 3B
hematom büyüklüğü ile IUFÖ ve PD arasında anlamlı bir ilişki gözlenmedi.
Lojistik regresyon modelinde ölçüm tekniğinden bağımsız olarak SKH’un ≥500 cm³
olması erken doğumla ilişkili risk faktörü olarak bulundu (OR:1,008, %95 CI: 1,002-1,012,
p=0,006).

Sonuç: SKH boyutunun PD riskini artırdığını belirledik. SKH'un teşhis ve
takibinin 2B ve 3B ultrasonografik ölçüm ile yapılmasının düşük, IUFÖ ve PD
gibi olumsuz gebelik sonuçlarına etkisinin olmadığını gördük. 

Anahtar Kelimeler

Subkoryonik Hematom, 3 boyutlu, 2 boyutlu, ultrason, olumsuz gebelik sonuçları

Destekleyen Kurum

Yok

Proje Numarası

approval date/number:05.04.2019/004

Teşekkür

Çalışmaya dahil olan tüm hastalarımıza teşekkür ederiz.

Does the measurement of the size of the first trimester subchorionic hematoma by 2D and 3D ultrasonographic techniques have any effect on adverse pregnancy outcomes?

Öz

Aim: We aimed to evaluate whether the measurement of subchorionic
hematoma (SCH) size with 2D and 3D ultrasonography affects adverse pregnancy
outcomes.

Methods: One hundred fifty-eight pregnant patients having SCH were
enrolled in the study. The diagnosis of SCH was made by 2D and 3D
ultra-sonographic methods in the first trimester, between 6^th and 14^th
gestational weeks. Patients having SCH were determined with adverse pregnancy
outcomes such as miscarriage, intrauterine fetal death (IUFD), and preterm
labor (PL). Logistic regression analyses were applied for the relationship of miscarriage,
IUFD, PL, and SCH.

Results: There were no statistically significant differences for body
mass index, 2-D hematoma sizes, 3-D hematoma sizes, and pregnancy outcomes
between the groups. Miscarriage/IUFD rate was 4.6%, PL rate was 6.9%, and the
term delivery rate was 88.5% in the primiparas having SCH. Miscarriage/IUFD
rate was 7%, PL rate was 3.5%, and the term delivery rate was 89.5% in the
multiparas having SCH. No significant association was observed between 2D and
3D hematoma sizes and IUFD and PL. In the logistic regression model, SCH ≥ 500
cm³ was found to be a risk factor associated with PL, not regarding
the measurement technique (OR:1.008, 95% CI: 1.002-1.012, p=0.006).

Conclusion: We determined that SCH size increases the
risk of PL. We observed no effect of diagnosis and follow-up of SCH, by 2D and
3D ultrasonography techniques on adverse pregnancy outcomes such as
miscarriage, IUFD, and PL.

Anahtar Kelimeler

Subchorionic Hematoma, three dimensional, two dimensional, ultrasound, adverse pregnancy outcome

Proje Numarası

approval date/number:05.04.2019/004

Kaynakça

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