CAJ | 학술논문

经会阴超声监测377例有早产症状的孕22 ～ 36周初产孕妇在就诊时、出现早产症状后1周时宫颈管长度,计算宫颈管长度缩短率,并行宫颈分泌物纤维结合蛋白(fFN)检查.宫颈管长度缩短率在16％～ 60％时,fFN(+)组与(-)组早产率差异有统计学意义(P＜0.01),＞60％时,fFN(+)组与(-)组比较差异无统计学意义(P＞0.05).宫颈管长度缩短率联合胎儿纤维结合蛋白监测可更好预测早产.
경회음초성감측377례유조산증상적잉22 ～ 36주초산잉부재취진시、출현조산증상후1주시궁경관장도,계산궁경관장도축단솔,병행궁경분비물섬유결합단백(fFN)검사.궁경관장도축단솔재16％～ 60％시,fFN(+)조여(-)조조산솔차이유통계학의의(P＜0.01),＞60％시,fFN(+)조여(-)조비교차이무통계학의의(P＞0.05).궁경관장도축단솔연합태인섬유결합단백감측가경호예측조산.
The length of cervical canal was monitored by perineal ultrasonography in 377 pregnant women with 22 to 36 weeks of gestation,at the same time the contents of fibronectin (fFN) in cervical secretions were measured.The rate of cervical canal length shortening from the time of first visit to the appearance of preterm signs was calculated.When the cervical length shortening rate was 16％～ 60％,fFN (+) was correlated with higher preterm birth rate (P ＜0.01),while when the shorten rate ＞ 60％ there was no significant difference in preterm delivery rate between fFN (+) and fFN (-) groups (P ＞ 0.05).The results indicate that the monitoring of cervical canal length combined with fiberonectin measurement in cervical secretion may better predict pretenn birth.