CAJ | 학술논문

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.
목적 연구초성측량궁경장도대예측쌍태자연조산적림상개치,위금후림상실천제공삼고화차감,이제고진단조산적과학성. 방법 선취2011년8월1일~2014년6월1일기간필자의원수치적90례쌍태선조조산적잉부위연구대상,근거측량방식적불동분위3조,매조30례,A조환자채용경복부초성검측,B조환자채용경음도초성검측,C조환자채용경회음초성검측,탐토초성측량궁경장도대예측쌍태자연조산적림상개치. 결과 경복부초초성검측CL<2.6cm적조산솔위70.0%,경음도초성검측CL<2.6cm적조산솔위76.7%,경회음초성검측CL<2.6cm적조산솔위80.0%,3충검사방식중CL<2.6cm적환자조산발생솔명현고우CL≥2.6cm적환자,소이궁경장도<2.6cm적기조산솔발생최고. 결론 궁경장도여조산적발생존재십분밀절적관계,이초성가이준학적측량궁경장도,재조산적예측중구유교고적림상개치,대우불능진음도채초검사적환자가이채용경복혹경회음초성검사,기준솔균비교고.
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 accord-ing 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 sig-nificantly 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 ac-curately 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 .