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杨静.经会阴超声测量中孕期宫颈管长度在预测早产中的应用[J].中国医药科学,2020,(1):231-234        基金项目:
经会阴超声测量中孕期宫颈管长度在预测早产中的应用
Application of transperineal sonographic measurement of cervical length in mid-pregnancy in predicting premature delivery
  
DOI:
中文关键词:  早产;会阴超声;宫颈管长度;中孕期
英文关键词:Premature delivery;Perineal sonography;Cervical length;Mid-pregnancy
作者单位
杨静 广东省惠州市第六人民医院,广东惠州 516000 
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中文摘要:
      [摘要] 目的 研究经会阴超声测量中孕期宫颈管长度运用于预测早产中的价值。 方法 选择我院 2017 年11 月~ 2018 年 11 月收治的孕妇 60 例,其中 19 例作为早产组,另 41 例作为非早产组。所有研究对象均选择彩色多普勒超声诊断仪器,分别经会阴超声测量宫颈管长度,对比两组检测结果。 结果 早产组宫颈管长度(21.36±3.17)mm 低于非早产组(35.04±5.81)mm(P < 0.05),但早产组宫颈内口宽度(12.91±4.23)mm高于非早产组(4.86±1.52)mm(P < 0.05)。宫颈管长度< 10mm 的早产发生率 66.67%,明显高于宫颈长度为 10 ~ 20mm 组的早产发生率 50.00%、21 ~ 30mm 组的 33.33%、> 30mm 组的 14.81%(P < 0.05),提示宫颈管长度< 10mm 的早产发生率更高。宫颈内口宽度≥ 5mm 的早产发生率 52.38%,明显高于宫颈内口宽度< 5mm 的早产发生率 20.51%(P < 0.05),提示宫颈内口宽度≥ 5mm 的早产发生率更高。宫颈长度< 10mm 时,评估早产的灵敏度低于其他宫颈管长度,但是特异度高于其他长度(P < 0.05)。 结论 经会阴超声测量宫颈管长度在对早产预测中的的效果较为明显,若孕妇宫颈管长度越短,早产发生率越高,通过预测,可尽早对临床做出干预预警,为预后提供保障。
英文摘要:
      [Abstract] Objective To study values of application of transperineal sonographic measurement of cervical length in mid-pregnancy in predicting premature delivery. Methods 60 pregnant women who were admitted to our hospital from November 2017 to November 2018 were selected.19 pregnant women were set as the premature delivery group while other 41 pregnant women were set as the non-premature delivery group.All research objects used underwent color Doppler ultrasound diagnostic equipment to measure cervical length by perineal ultrasound.The results were compared between the two groups. Results The cervical canal length in the premature delivery group was (21.36±3.17)mm,lower than that in the non-premature delivery group (35.04±5.81) (P < 0.05).However,the width of the cervix in the premature delivery group was (12.91±4.23) mm,higher than that in the non-premature delivery group (4.86±1.52)mm (P < 0.05).The incidence of premature delivery of cervical length less than 10mm was 66.67%,which was significantly higher than 50.00% in the cervical length of 10-20mm group,33.33% in the cervical length of 21-30mm group and 14.81% in the cervical length over 30mm group (P < 0.05),indicating the incidence of premature delivery of cervical length less than 10mm was higher.The incidence of premature delivery of the cervical internal width equal or over to 5mm was 52.38%,significantly higher than 20.51% of the cervical internal width less than 5mm (P < 0.05),suggesting that the incidence of premature delivery of the cervical internal width equal or over to 5mm was higher.When the length of the cervix was less than 10mm,the sensitivity of evaluating premature delivery was lower than that of other cervical length,but the specificity was higher than other lengths (P < 0.05). Conclusion Transperineal sonographic measurement of cervical length is more effective in predicting premature delivery.If the cervical length is shorter,the incidence of premature delivery is higher.Through prediction,early warning of clinical intervention can be made as early as possible and prognosis can be guaranteed.
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