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腹部超声与会阴超声测量宫颈长度在预测早产中的价值对比 被引量:1

Comparison of the value of abdominal ultrasound and perineal ultrasound in estimating cervical length in predicting preterm labor
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摘要 目的:研究腹部超声和会阴超声测量宫颈长度在预测早产儿中的价值对比。方法:选取有早产症状的妊娠女性47例为研究对象,其中参照组23例,采用腹部超声检测;试验组24例,采用会阴超声检测宫颈长度。观察对比两组宫颈实现率、不同宫颈长度的早产率以及预测早产的敏感度和阴、阳性预测值情况。结果:两组患者经过检测后,试验组的宫颈实现率显著高于参照组,差异有统计学意义(P <0. 05)。两组患者宫颈长度<25 mm的早产率显著高于宫颈长度≥25 mm者,差异有统计学意义(P <0. 05)。试验组宫颈长度<25 mm者预测早产的敏感度为75%,显著高于参照组的43. 49%,差异有统计学意义(P <0. 05)。结论:会阴超声检测具有更高的显示率,腹部超声检测有更低的敏感度,而两种方法检测显示,宫颈长度≥25 mm者早产率更低。 Objective To compare the value of abdonfinal ultrasound and perineal ultrasound in measuring the length of the cervix in predicting preterm infants. Method Forty - seven pregnant women with symptoms of preterm birth were enrolled in this study. Twenty - three of them were in the reference group and were tested by abdonfinal ultrasonography. Twenty - four patients in the experimental group were exanfined by perineal ultrasonography. The incidence of cervical cancer, the rate of premature birth at different cervical lengths, the predictive value of preterm labor and the predictive values of negative and positive rates were com- pared between the two groups. Results After two groups of patients were tested, the experimental group's cervical rate was signifi- cantly higher than the reference group ( P 〈 0. 05 ). The preterm birth rates of CL 〈 25 ran1 for both groups were significantly higher than those for CL ≥ 25 ran1 ( P 〈 0. 05 ). The experimental group of cervical length CL 〈 25 mm predicted the sensitivity of preterm labor was 75 % , significantly higher than the reference group of 43.49% (P 〈 0. 05 ). Conclusion Perineal ultrasonography has a higher rate of display, lower abdominal sensitivity ultrasound detection, and two methods show that the cervical length of not less than 25ram lower preterm birth rate..
作者 林晓瑜 林巧玉 林慕芸 LIN Xiao-yu;LIN Qiao-yu;LIN Mu-yun(Department of gynaecology and obstetrics,The People's Hospital of Chenghai District,Shantou City,Guangdong Province,Shantou 515800,China)
出处 《吉林医学》 CAS 2018年第11期2041-2042,共2页 Jilin Medical Journal
基金 汕头市第三批医疗卫生自筹经费类科技计划项目[项目编号:170823171931323]
关键词 早产 会阴超声 腹部超声 宫颈长度 Preterm birth Perineal ultrasound Abdominal ultrasound Cervical length
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  • 1谢幸,苟文丽.妇产科学[M].第8版.北京:人民卫生出版社,2013:258-264.
  • 2邓茂莲,廖群香,陈红梅.B超诊断宫颈长度增长临床意义[J].中国现代医生,2007,45(11X):126-126. 被引量:2
  • 3Mella MT, Berghella V. Prediction of preterm birth: Cervi- cal sonography[J]. Semin Perinatol, 2009,33 : 317-324.
  • 4Crane JM, Hutchens D. Transvagial sonographic measure- ment of cervical length to predict preterm birth in asymp- tomatic women atincreased risk:A systematic review[J]. Ultrasound Obstet Gynecol, 2008,31 (5) : 579-587.
  • 5Ventura W,Huaman-Guerrero M.Comment on"what is predictive of preterm delivery in the first trimester:isthmus or cervical length?"[J].Prenat Diagn,2013,33(13):1321.
  • 6Portela SN,Rocha-De-Souza R,Oppermann-Lisboa K,et al.Maternal physical activity,cervical length and its relation to spontaneous vaginal birth at term[J].Arch Gynecol Obstet,2014,290(2):257-262.
  • 7Parry S,Elovitz MA.Pros and cons of maternal cervical length screening to identify women at risk of spontaneous preterm delivery[J].Clin Obstet Gynecol,2014,57(3):537-546.
  • 8Moroz LA,Simhan HN.Rate of sonographic cervical shortening and biologic pathways of spontaneous preterm birth[J].Am J Obstet Gynecol,2014,210(6):555.e1-5.
  • 9Hiersch L,Yogev Y,Domniz N,et al.The role of cervical length in women with threatened preterm labor:is it a valid predictor at any gestational age?[J].Am J Obstet Gynecol,2014,211(5):532.e1-9.
  • 10Hernande-Andrade E,Romero R,Korzeniewski SJ,et al.Cervical strain determined by ultrasound elastography and its association with spontaneous preterm delivery[J].J Perinat Med,2014,42(2):159-169.

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