CAJ | 학술논문

目的：探讨经会阴超声测量宫颈长度及观察宫颈内口状态的准确性,评价经会阴超声在孕晚期宫颈检查中的应用价值。方法选择妊娠28~37 w无早产征象单胎的初产妇50例,分别经会阴超声与经阴道超声测量宫颈长度并观察宫颈内口状态,并作对照分析。结果50例孕妇中,宫颈长度均>3 cm。经会阴测量(3.33±0.21)cm与经阴道测量(3.29±0.18)cm差异无统计学意义(P>0.05),两种方法观察宫颈内口状态完全一致(值0.86,P>0.05)。结论经会阴超声能清晰显示孕晚期宫颈形态,准确测量宫颈长度,并且操作简便,无创伤,可重复,值得临床推广应用。
목적：탐토경회음초성측량궁경장도급관찰궁경내구상태적준학성,평개경회음초성재잉만기궁경검사중적응용개치。방법선택임신28~37 w무조산정상단태적초산부50례,분별경회음초성여경음도초성측량궁경장도병관찰궁경내구상태,병작대조분석。결과50례잉부중,궁경장도균>3 cm。경회음측량(3.33±0.21)cm여경음도측량(3.29±0.18)cm차이무통계학의의(P>0.05),량충방법관찰궁경내구상태완전일치(치0.86,P>0.05)。결론경회음초성능청석현시잉만기궁경형태,준학측량궁경장도,병차조작간편,무창상,가중복,치득림상추엄응용。
Objective To investigate the accuracy of transperineal ultasonographic measurement of cervical length and cervical status.Methods Transperineal and transvaginal ultrasound were performed to examine cervical length and detect morphological change respectively in 50 cases of primipara carrying single birth between 28 and 37 weeks of gestation without signs of preterm labor.Results Cervical length of al cases was greater than 3cm. There was no statistical significance (P>0.05) between transperineal (3.33±0.21)cm and transvaginal (3.29±0.18)cm measurement. As to cervix state,the results from two methods were almost the same (K=0.86,P>0.05). Conclusion Transperineal sonographic measurement of cervical length is highly accurate,simple,non-invasive,and repeatable.Therefore the method could be widely applied.