| 超声测量宫颈长度预测双胎自然早产的临床价值研究 |
| 投稿时间：2015-01-08 修订日期：2015-02-28 点此下载全文 |
| 引用本文：李晴,马燕,蔡昱,韦宇翔.超声测量宫颈长度预测双胎自然早产的临床价值研究[J].医学研究杂志,2015,44(10):138-140 |
| DOI：
10.11969/j.issn.1673-548X.2015.10.039 |
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| 中文摘要:目的 研究超声测量宫颈长度对预测双胎自然早产的临床价值,为今后临床实践提供参考和借鉴,以提高诊断早产的科学性。 方法 选取2011年8月1日~2014年6月1日期间笔者医院收治的90例双胎先兆早产的孕妇为研究对象,根据测量方式的不同分为3组,每组30例,A组患者采用经腹部超声检测,B组患者采用经阴道超声检测,C组患者采用经会阴超声检测,探讨超声测量宫颈长度对预测双胎自然早产的临床价值。 结果 经腹部超超声检测CL<2.6cm的早产率为70.0%,经阴道超声检测CL<2.6cm的早产率为76.7%,经会阴超声检测CL<2.6cm的早产率为80.0%,3种检查方式中CL<2.6cm的患者早产发生率明显高于CL≥2.6cm的患者,所以宫颈长度<2.6cm的其早产率发生最高。 结论 宫颈长度与早产的发生存在十分密切的关系,而超声可以准确的测量宫颈长度,在早产的预测中具有较高的临床价值,对于不能进阴道彩超检查的患者可以采用经腹或经会阴超声检查,其准率均比较高。 |
| 中文关键词:超声 宫颈长度 自然早产 临床价值 |
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| Research on Clinical Value of Ultrasonic Measurement on Cervical Length to Predict Natural Premature of Twins |
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| Abstract:Objective To discuss the clinical value of ultrasonic measurement on cervical length to predict natural premature of twins and to provide a reference for clinical practices in the future in order to improve scientific nature of the diagnosis on premature birth. Methods Ninety pregnant women with threatened premature of twins admitted by this Hospital during the period from August 1st, 2011 to June 1st, 2014, June 1, 2014 were selected as research subject, who were divided into three groups with 30 patients in each group according to the different methods of measurement. Patients in Group A were subject to abdominal ultrasound detection, patients in Group B were subject to transvaginal ultrasonography, and patients in Group C were subject to transperineal ultrasonography. Clinical value of ultrasonic measurement on cervical length to predict natural premature of twins was discussed. Results The preterm birth rate of trans-abdominal ultrasonography CL <2.6cm hit 70.0%, and the preterm birth rate of transvaginal ultrasonography CL <2.6cm hit 76.7%, the preterm birth rate of transperineal ultrasonography CL<2.6cm hit 80.0%, and the incidence of preterm birth of patients with CL<2.6cm was significantly higher than that of patients with CL≥2.6cm. Therefore, the preterm birth rate of patients with the length of cervix uteri less than 2cm was the most. Conclusion The cervical length is closely related with the incidence of preterm labor. The ultrasonography can accurately measure cervical length, and it delivers high clinical value in premature prediction. Patients who were not applicable for transvaginal ultrasonography may undergo transabdominal or transperineal ultrasonography, the accuracy of which is relatively high. |
| keywords:Ultrasound Cervical length Natural premature Clinical value |
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