摘要
目的探讨超声测量子宫瘢痕前壁下段厚度对阴道试产的影响。方法选取我院收入的80例瘢痕子宫孕妇作为观察对象,另择同期产检正常的20例健康经产妇作为正常对照组,超声检查后分析子宫瘢痕孕妇阴道试产影响。结果超声检查结果显示观察组孕妇子宫前壁下段厚度显著低于正常对照组孕妇(t=14.489,P<0.05);且观察组孕妇阴道试产成功率为47.50%,显著低于正常对照组孕妇的80%(χ^2=9.370,P<0.05)。阴道试产失败与成功组子宫瘢痕孕妇在孕周、上次生产时间、宫颈Bishop评分、子宫前壁下段厚度上比较差异显著(t=5.221、9.076、11.611、9.201,P<0.05);且阴道试产失败Logistic分析结果显示,孕周、宫颈Bishop评分、子宫前壁下段厚度均为阴道试产失败的独立因素(P<0.05)。母婴结局比较,不同厚度的子宫瘢痕孕妇在出血量、缩宫素使用、并发症发生率及新生儿体质量、新生儿Apgar评分上比较差异显著(F/χ^2=38.436、86.458、4.940、3.784、3.262,P<0.05)。结论超声测量子宫瘢痕孕妇的子宫前壁下段厚度低于正常孕妇,且孕周、宫颈Bishop评分、子宫前壁下段厚度可作为阴道试产失败预测因子;而子宫瘢痕孕妇子宫前壁厚度越薄可能预示着更多的不良母婴结局。
Objective To explore the influence of ultrasonic measurement on vaginal trial delivery of the thickness of anterior inferior wall of uterine scar,and to analyze the maternal and infant outcomes of pregnant women with uterine scar.Methods 80 cases of scar uterus pregnant women in our hospital income were selected as the research object.Another 20 cases of normal prenatal health parous women were chosen as normal control group.We analyzed influence factors and uterine scar pregnant women vaginal trial production failure and outcomes after ultrasound test.Results Observation group was significantly lower than normal pregnant women under the front wall of the uterus section thickness control group of pregnant women(t=14.489,P<0.05).Observation group success rate of pregnant women vaginal trial production was 47.50%,significantly lower than that of normal control group 80%(χ^2=9.370,P<0.05).There were significant differences in gestational age,last delivery time,Bishop score of cervix,and thickness of inferior anterior wall between the two groups(t=5.221,9.076,11.611,9.201,P<0.05).Logistic analysis results showed that gestational age,Bishop score of cervix and thickness of inferior anterior wall of uterus were all independent factors for the failure of vaginal labor(P<0.05).There were significant differences among pregnant women with uterine scar of different thickness in blood loss,the use of oestrogen,the incidence of complications,neonatal body mass,and neonatal Apgar score(F/χ^2=38.436,86.458,4.940,3.784,3.262,P<0.05).Conclusion Ultrasound was used to measure the thickness of inferior anterior wall of uterus in pregnant women with scar.Gestational age,cervical Bishop score and anterior inferior uterine wall thickness were predictive factors of vaginal trial failure.Thin anterior wall thickness of uterus in pregnant women with scar may indicate more adverse maternal and infant outcomes.
作者
韩艳
刘志红
HAN Yan;LIU Zhihong(Ultrasonic Department, People's Hospital of Aba Tibetan and Qiang Autonomous Prefecture, Sichuan 624000, P.R.China)
出处
《医学影像学杂志》
2020年第5期810-813,818,共5页
Journal of Medical Imaging
关键词
子宫瘢痕
子宫前壁下段厚度
阴道试产
母婴结局
超声检查
Uterine scar
Thickness of inferior anterior wall of uterus
Vaginal trial birth
And outcomes
Ultrasonography
作者简介
韩艳(1983-),女,河北秦皇岛人,毕业于牡丹江医学院,本科学历,主治医师,主要从事妇产超声影像学诊断工作。
