胎儿纤维连接蛋白联合宫颈长度测量在宫颈环扎术后预测早产的临床观察

Clinical observation on combined fetal Fibronectin detection and cervical length measurement in predicting preterm birth after cervical cerclage

目的探讨联合应用胎儿纤维连接蛋白和宫颈长度测量在预测宫颈环扎术后早产的效果分析。方法以我院2011年1月至2013年12月间,收治的60例宫颈机能不全行宫颈环扎术后产妇为研究对象,分别使用胎儿纤维连接蛋白和宫颈长度测量两种方法对孕妇围产结局进行预测,比较预测效果。结果 fFN检查阳性预测值为78.79%,宫颈长度测量检查阳性预测值为77.14%,联合使用两种方法的阳性预测值为96.07%,高于分别单独使用两种方法时的阳性预测值,其差异有统计学意义(P<0.05)。结论胎儿纤维连接蛋白联合宫颈长度测量在宫颈环扎术后预测早产中可以起到积极效果。

Objective To analyze the effect of combine fetal fibronectin detection （Ffn） and cervical length measurement in predicting preterm birth after cervical cerclage. Methods 60 pregnant women after cervical cerclage in our study used fetal fibronectin detection and cervical length measurement to make predictions for the pregnant women. The predicted results were compared. Results The positive predictive value of fFN was 78.79% and that of cervical length measurement was 77. ld%. At the same time, the positive predictive value of combine two methods was 96.07%, with a significant development. Conclusions It would get a satisfactory effect to combine fetal fibronectin detection and cervical length measurement in predicting preterm birth after cervical cerclage.