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超声监测妊娠期子宫颈的临床意义 被引量:1

Study of the cervix in the normal pregancy and threatened preterm delivery using ultrasound
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摘要 目的探讨阴道超声监测妊娠期子宫颈对早产的预测价值。方法纳入研究的孕妇133例,其中33例有先兆早产症状,于妊娠16~36周经超声测量宫颈长度,并随访其妊娠结局。结果(1)阴道指诊Bishop评分和阴道B超两种方法用于测量宫颈长度,以阴道B超为优。(2)孕28周后宫颈长度与孕周呈负相关。宫颈长度缩短,发生早产的危险性增加。(3)宫颈长度≤30mm、宫颈漏斗形成预测早产的敏感性为100%,特异性为86.9%。结论以阴道B超检测妊娠期宫颈变化是一种客观、有效、可重复的预测早产的方法。 Objective To observe the changes of cervix in the normal pregancy using ultrasound and to predict preterm delivery.Methods Ultrasonography was performed in 100 normal single nuttiparous pregnant women between 16 and 36 weeks of gestation and 33 women with threatened preterm labor were observed the changes of the cervical length and the presence of funneling.Results(1)Compare to use transvaginal Bishops and transvaginal sonography,the latter was the best.(2)After 28 weeks the cervix length was contact with p...
作者 林娜 刘合焜
出处 《福建医药杂志》 CAS 2008年第6期15-17,共3页 Fujian Medical Journal
关键词 超声检查 子宫颈 分娩早产 预测 Ultrasonography Cervix length Premature Forecaster
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参考文献8

  • 1余海燕,李维敏.应用超声监测妊娠期子宫颈[J].中华妇产科杂志,1998,33(7):438-440. 被引量:10
  • 2[2]Anderson HF.Transvaginal and transabdominal ultrasonography of the uterine cervix during pregnancy[J].J Clin Ultrasound,1991,19 (2):77-83.
  • 3[3]Jackson GM,Ludmir J,Bader TJ,et al.The accuracy of digital examination and ultrasound in the evaluation of cervical length[J].Obstet Gyneeol,1992,79 (2):214-218.
  • 4[4]Iams JD,Goldenberg RL,Meis PJ,et al.The length of the cervix and the risk of spontaneous premature delivery[J].N Engl J Med,1996,334 (2):567-572.
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二级参考文献12

  • 1叶美美,翁霞云.应用阴道超声波观察妊娠晚期子宫颈成熟度[J].中华妇产科杂志,1994,29(11):657-659. 被引量:17
  • 2邱文玉.B超多项指标在预测胎龄和胎儿生长发育中的应用[J].实用妇产科杂志,1988,4:255-258.
  • 3Iams JD, Goldenberg RL, Meis PJ, et al. The length of the cervix and the risk of spontaneous premature delivery. N Engl J Med,1996, 334:567-572.
  • 4Bozenberg P, Goffinet F, Hessabi M, et al. Comparison of the Bishop score, ultrasonographically measured cervical length, and fetal fibronectin assay in predicting time until delivery and type of delivery at term. Am J Obstet Gynecol, 2000, 182:108-113.
  • 5Anderson HF. Transvaginal and transabdominal ultrasonography of the uterine cervix during pregnancy. J Clin Ultrasound, 1991,19:77-80.
  • 6Owen J, Neely C, Northen A. Transperineal versus endovaginal ultrasonographic examination of the cervix in the midtrimester: a blinded comparison. Am J Obstet Gynecol, 1999, 181:780-783.
  • 7Jackson GM, Ludmir J, Bader TJ, et al. The accuracy of digital examination and ultrasound in the evaluation of cervical length.Obstet Gynecol, 1992, 79: 214-218.
  • 8Murakawa H, Utumi T, Hasegawa I, et al. Evalution of threatened preterm delivery by transvaginal ultrasonographic measurement of cervical length. Obstet Gynecol, 1993, 82:829-832.
  • 9Iams JD, Paraskos J, Landon MB, et al. Cervical sonography in preterm labor. Obstet Gynecol, 1994, 84:40-46.
  • 10叶美美,中华妇产科杂志,1994年,29卷,657页

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