摘要
目的:探讨经会阴部超声检查对妊娠中晚期宫颈功能不全的诊断价值。方法:2010年10月-2013年10月收治行产前超声检查孕妇中有早产及习惯性流产史、不明原因阴道流血、多产病史等的重点病例56例,自妊娠12周末至妊娠30周经会阴超声观察宫颈情况,并与经腹部及经阴道超声检查对照分析,随访妊娠结果。结果:经会阴超声检查宫颈满意显示率96.4%,能客观反映宫颈情况,对宫颈区域提供直观可靠的信息,明显优于经腹超声检查。结论:经会阴超声检查用于妊娠中期宫颈功能不全的评价中安全、经济、有效,易为患者接受,值得临床广泛推广应用。
Objective:To investigate the perineal ultrasonography in diagnosis of pregnancy induced in advanced cervical incompetence.Methods:56 pregnant women who had prenatal ultrasound examination showed preterm birth,habitual abortion history,unexplained vaginal bleeding and prolific history were selected from October 2010 to October 2013.We observed the cervical situation through transperineal sonography from 12 to 30 weeks of pregnancy.Then we compared and analyzed the two methods of abdominal and transvaginal ultrasound,and follow up the outcome of pregnancy.Results:Perineal ultrasound examination showed cervical satisfaction rate was 96.4%,which can reflect the cervical situation objectively,and provided reliable information on cervical region.It was significantly better than transabdominal ultrasonography.Conclusion:The transperineal ultrasonography for the evaluation of cervical incompetence in mid pregnancy is safe,economic,effective,and the patient is easy to accept,so it is worthy of extensive promotion and application.
