摘要
目的探讨经会阴超声测量宫颈形态学指标对足月初产妇临产时间的预测价值。方法应用经会阴超声测量119例单胎足月初产妇的宫颈形态学指标,包括宫颈管长度、宫颈内口宽度及羊膜囊嵌入内口的深度,并进行超声评分,追踪分娩结局。结果随着宫颈长度的变短,宫颈内口的扩张,羊膜囊嵌入内口的评分增加,宫颈成熟度增加,临产时间越短。超声宫颈形态学评分≥9分者23例,临产时间为(4.4±1.8)h;5~8分者77例,临产时间为(33.9±8.2)h;≤4分者19例,临产时间为(79.0±6.7)h,不同评分者差异有统计学意义(P<0.05)。结论经会阴超声测量宫颈形态学指标进行宫颈成熟度评分,对足月初产妇临产时间有一定的预测作用,是一种安全有效的检查手段。
Objective To explore the predictive value of cervical morphological indicators measured by transperineal sonography.Methods One hundred and nineteen cases of single mature primipara were collected.The cervical morphological indicators by transperineal ultrasound including length of cervical canal,width of cervix,the depth of the amniotic sac embedded into the mouth were measured,ultrasound scores were made,and the birth outcomes were followed.Results With the getting shorter of cervical length,the expansion of the cervix,the increasing scores of the amniotic sac embedded into the mouth,the increasing of cervical ripening,then the labor time was got shortened.There were 23 cases with ultrasound morphological scores≥9,labor time was（4.4±1.8）h.77 cases with scores 5~8,labor time was（33.9±8.2）h.19 cases with scores≤4,labor time was（79.0±6. 7）h,and the difference were statistically significant（P〈0. 05）. Conclusion The cervical maturity could be evaluated by transperineal ultrasound through measurement of cervical morphological indicators.It could predict the labor time and the delivery mode in the single mature primiparas,and it is also a safe and effective mean of checking.
出处
《临床超声医学杂志》
2017年第11期782-784,共3页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
经会阴
宫颈形态
临产时间
分娩
Ultrasonography, transperineal
Cervical morphology
Labor time
Childbirth
