宫颈超声测量联合胰岛素样生长因子结合蛋白-I对分娩的预测研究  

Study of Transvaginal Sonography and Cervical Level of Insulin-like Growth Factor Binding Protein-I on Prediction of Delivery

作　　者：沈卓娜[1] 周小玲[1] 

机构地区：[1]广东省中山市人民医院妇产科,528400

出　　处：《岭南急诊医学杂志》2006年第3期200-201,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨经阴道超声宫颈测量联合胰岛素样生长因子结合蛋白-I(IGFBP-I)对预测足月妊娠分娩发动的价值。方法:经阴道超声检测150例妊娠37～42周、未临产、胎膜完整的孕妇的宫颈长度,同时采用免疫层析法进行宫颈分泌物IGFBP-I测定。结果:两种方法的预测值无显著差异,联合预测分娩的敏感性、特异性、阳性预测值、阴性预测值均较单独应用超声、IGFBP-I高。结论:两种方法联合应用可提高分娩预测的准确率,且不依赖临床,对于指导临床进行必要的产科处理具有实际意义。Objective： To observe the effect of transvaginal sonography and cervical level of insulin-llke growth factor binding protein-I（IGFBP-I） on prediction of delivery. Method： Transvaginal sonography were performed in 150 unparturient pregnant women of 37-42 gestation weeks, with intact membranes. The IGFBP-I in cervical discharge was determined by immanochromatography. Results： Within three days before delivery, three is no significant difference in either transvaginal sonography or cervical level of insulin-like growth factor binding protein-I on prediction of delivery. The sensitivity, specificity, positive predictive value and negative predictive value with Two methods were higher than with either method. Conclusion： The two methods can be used to predict delivery, independent on clinical experience but with practical clinical significance in obstetrical management.

关 键 词：超声检查 胰岛素样生长因子结合蛋白-I 分娩 预测 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714[医药卫生—诊断学]