高危人群超声动态监测宫颈长度及形态在预测早产中的临床意义  

Clinical significance of dynamic monitoring cervical length and morphology in predicting premature delivery by high risk population

作　　者：黄仁英 柯莹 胡莉琴 刘桂荣 HUANG Ren-ying;KE Ying;HU Li-qin;LIU Gui-rong(Department of Obstetrics,Ganzhou Maternal and Child Health Care Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市妇幼保健院产科,江西赣州341000

出　　处：《中国当代医药》2018年第32期95-97,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2015ZSF237)

摘　　要：目的评价对高危人群应用超声动态监测宫颈长度及形态在预测早产中的临床意义。方法选取2015年2月~2016年7月我院收治的32例早产产妇作为研究对象,设为早产组,另选择同期产科足月分娩产妇32例为对照,设为足月产组。比较两组在宫颈长度、宫颈内口宽度检出值方面的差异,并分析早产组早产发生率与宫颈长度、宫颈内口宽度的相关性。结果早产组宫颈长度检出均值为(21.56±2.86)mm,显著低于足月产组,宫颈内口宽度检出均值为(12.56±1.63)mm,显著高于足月产组,差异均有统计学意义(P<0.05)。早产发生率与宫颈长度成负相关关系(r=-0.652),与宫颈内口宽度成正相关关系(r=0.583),差异有统计学意义(P<0.05)。结论高危人群超声动态监测宫颈长度以及宫颈形态对早产有良好预测价值,宫颈长度小、宫颈内口宽度大可作为临床预测早产的重要依据,值得应用并推广。Objective To evaluate the clinical significance of dynamic monitoring of cervical length and morphology in predicting premature delivery. Methods Thirty-two preterm women who were admitted to our hospital from February2015 to July 2016 were selected as the study subjects and set as preterm group. Another 32 cases of maternal delivery in the same period of obstetrics were selected as the control and set as the full-term birth group. The differences between the two groups in the length of the cervix and the width of the cervix were compared. The relationship between the preterm birth rate and the length of the cervix and the width of the cervix was analyzed. Results The average detection of cervical length in preterm group was（21.56±2.86） mm, which was significantly lower than that in full term.The mean value of cervical intraoral width was（12.56±1.63） mm, which was significantly higher than that in full term,the differences were statistically significant（P〈0.05）. The incidence of preterm delivery was negatively correlated with the length of the cervix（r=-0.652）, and positively correlated with the width of the cervical intraoral orifice（r=0.583）,the differences were statistically significant（P〈0.05）. Conclusion The ultrasonic dynamic monitoring of the cervical length and the shape of the cervix has good predictive value for preterm labor in high risk population. The small cervical length and the width of the cervix can be used as an important basis for the prediction of preterm labor. It is worth applying and popularizing.

关 键 词：宫颈长度 宫颈形态 早产 超声动态监测 

分 类 号：R714.21[医药卫生—妇产科学]