摘要
目的:比较经腹、经阴道与经会阴三种超声途径测量宫颈长度对早产的预测价值。方法:选取我院就诊的孕妇780例,根据测量途径不同分为三组,每组260例,分别采用经腹、经阴道与经会阴方法测量宫颈长度。观察并比较三组患者的妊娠结局,以及三种测量方法的敏感度及特异性。结果:三组患者接受率相比,经腹组、经会阴组患者接受率明显高于经阴道组(P<0.05);三组患者宫颈显示率相比,经会阴组、经阴道组宫颈显示率显著高于经腹组(P<0.05)。经腹组中,宫颈长度<2.5 cm的患者早产率为48.46%,明显高于宫颈长度≥2.5 cm的患者早产率17.69%(P<0.05);经会阴组中,宫颈长度<2.5 cm的患者早产率为37.69%,明显高于宫颈长度≥2.5 cm的患者早产率13.08%(P<0.05);经阴道组中,宫颈长度<2.5 cm的患者早产率为36.92%,明显高于宫颈长度≥2.5 cm的患者早产率13.46%(P<0.05)。结论:三种超声途径测量宫颈长度对预测早产均有很大的临床价值,其中经会阴途径优势更大,值得进一步推广临床使用。
Objective： To compare the clinical value oftransabdominal, transperineal and transvaginal ultrasound in predicting the preterm birth by detecting the cervical length. Methods： 780 pregnant women were selected and according to different detecting methods, the patients were divided into three groups, with 260 cases in each group. The pregnant women were detected the cervical length by transabdominal, transperineal and transvaginal ultrasound, respectively. Then the pregnancy outcomes and the sensitivity and specificity of the three kinds of methods were observed and compared. Results： The acceptance rate of transabdominal group and transpefineal group were significantly higher than that of transvaginal group （P〈0.05）; The display rate of cervix of transperineal group and transvaginal group were significantly higher than that oftransabdominal group （P〈0.05）. For the transabdominal group, the preterm birth rate of pregnant women with cervical length 〈2.5 cm was 48.46%, which was significantly higher than 17.69% of pregnant women with cervical length -〉 2.5 cm （P〈0.05）; For the transperineal group, the preterm birth rate of pregnant women with cervical length 〈2.5 cm was 37.69%, which was significantly higher than 13.08% of pregnant women with cervical length -〉 2.5 cm （P〈0.05）; For the transvaginal group, the preterm birth rate of pregnant women with cervical length 〈2.5 cm was 36.92%, which was significantly higher than 13.46% of pregnant women with cervical length -≥2.5 cm （P〈0.05）. The sensitivity of the transabdominal examination was significantly lower than that of the transperineal group and transvaginal group （P〈0.05）. Conclusion： The three kinds of ultrasonic measurements of cervical length have great clinical value in predicting premature, of which transperineal approach has greater advantages, and it is worthy of further application.
出处
《现代生物医学进展》
CAS
2016年第30期5961-5963,5973,共4页
Progress in Modern Biomedicine
基金
湖北省自然科学基金项目(2012FFB02421)
关键词
超声检查
宫颈长度
早产
临床价值
Ultrasonic examination
Cervical length
Premature birth
Clinical value
