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英文誌(2004-)

Journal of Medical Ultrasonics

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1987 - Vol.14

Vol.14 No.06

Original Article(原著)

(0584 - 0589)

ドップラ断層による陣痛時の臍帯動静脈血流動態の評価

Evaluation of Umbilical Blood Flow Dynamics during Labor by Color Flow Mapping Doppler Echocardiography

陳 威伸1, 許 俊鋭2, 石田 珠明3, 斉藤 裕1, 尾本 良三2, 元山 猛3, 腰塚 浩3, 矢内原 巧1, 中山 徹也1

Ishin CHIN1, Shunei KYO2, Tamaaki ISHIDA3, Hiroshi SAITO1, Ryozo OMOTO2, Takeshi MOTOYAMA3, Hiroshi KOSHIZUKA3, Takumi YANAIHARA1, Tetsuya NAKAYAMA1

1昭和大学医学部産婦人科, 2埼玉医科大学第一外科, 3富士吉田市立病院

1Department of Obstetrics and Gynecology, Showa University School of Medicine, 2Department of Surgery, Saitama Medical School, 3Fujiyoshida Municipal Hospital

キーワード : 2-D Doppler, Umbilical blood flow, Labor pains

To evaluate the umbilical venous blood flow during labor, 11 normal pregnant women were selected and were divided into two groups. Group 1: spontaneous delivery (n=6) and Group 2: PGF2α induction (n=5). Color flow mapping 2-D Doppler echocardiography was used. Umbilical venous blood flow velocity was measured by FFT pulsed Doppler spectral analysis with an angular correction by color flow image. 2-D Doppler examinations were performed before the onset of pains, during pains at 10 minutes interval and within 5 (3 to 5) minutes interval.
The umbilical venous diameter did not change through labor. In Group 1, the umbilical arterial and venous blood flow velocities were 55.6±7.7 cm/sec and 18.5±1.0 cm/sec before the onset of labor. These values did not change at 10 minutes interval of labor (55.5±7.1; 18.2±1.1), but significant decrements were observed within 5 minutes interval of labor (45.5±2.1; 15.8±1.1). In Group 2, almost same tendency was observed.
These results demonstrated that the umbilical blood flow significantly reduced as the labor progressed. It is suggested that the reduction of umbilical blood flow during labor may be related to the intensity of pains.