阴道超声测定子宫瘢痕厚度与瘢痕妊娠患者母婴结局的关系  

Relationship between vaginal ultrasound measurement of uterine scar thickness and maternal and infant outcomes of scarred pregnancy patients

作　　者：廖慧芳 黄树华 LIAO Huifang;HUANG Shuhua(Department of Ultrasound,the First Affiliated Hospital of Gannan Medical College(Nankang Branch),Jiangxi Province,Ganzhou 341400,China;Department of Ultrasound,Nanfang Hospital,Ganzhou Hospital,Ganzhou People's Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院(南康院区)超声医学科,江西赣州341400 [2]江西省南方医院赣州医院赣州市人民医院超声医学科,江西赣州341000

出　　处：《中国当代医药》2024年第15期69-72,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20191083)。

摘　　要：目的探讨阴道超声测定子宫瘢痕厚度与瘢痕妊娠患者母婴结局的关系。方法选取2020年4月至2022年4月赣南医学院第一附属医院(南康院区)收治的72例瘢痕子宫孕妇,入院后均行阴道超声检查,根据子宫瘢痕厚度分为观察组(31例,子宫瘢痕厚度<3 mm)与对照组(41例,子宫瘢痕厚度≥3 mm)。记录两组分娩情况及母婴结局情况,采用Pearson或Spearman相关性分析子宫瘢痕厚度与瘢痕妊娠患者母婴结局的相关性。结果观察组阴道分娩率(19.35%)低于对照组(60.98%),剖宫产率(80.65%)高于对照组(39.02%),差异有统计学意义(P<0.05)。观察组新生儿出生1、10 min后Apgar评分均低于对照组,胎儿窘迫发生率、子宫破裂发生率及产后24 h出血量高于对照组,差异有统计学意义(P<0.05)。子宫瘢痕厚度与新生儿出生1、10 min后Apgar评分均呈正相关(r=0.583、0.541,P<0.05),与胎儿窘迫、子宫破裂、产后24 h出血量呈负相关(r=-0.394、-0.411、-0.571,P<0.05)。结论子宫瘢痕厚度与新生儿出生1、10 min后Apgar评分呈正相关,与胎儿窘迫、子宫破裂、产后24 h出血量呈负相关,和瘢痕妊娠患者母婴结局关系密切,具有重要临床指导意义。Objective To explore the relationship between vaginal ultrasound measurement of uterine scar thickness and maternal and infant outcomes of scar pregnancy patients.Methods A total of 72 pregnant women with cicatric uterus admitted to the First Affiliated Hospital of Gannan Medical College(Nankang Branch)from April 2020 to April 2022 were selected.All of them underwent vaginal ultrasound examination after admission,and they were divided into observation group(31 cases with cicatric thickness<3 mm)and control group(41 cases with cicatric thickness≥3 mm)according to the thickness of cicatric uterus.Delivery and maternal and infant outcomes of the two groups were recorded,and Pearson or Spearman method was used to analyze the correlation between uterine scar thickness and maternal and infant outcomes of scar pregnancy patients.Results The vaginal delivery rate of the observation group(19.35%)was lower than that of the control group(60.98%),and the cesarean section rate(80.65%)was higher than that of the control group(39.02%),and the differences were statistically significant(P<0.05).The Apgar scores of newborns in the observation group were lower than those in the control group at 1 min and 10 min after birth,and the incidence of fetal distress,uterine rupture and postpartum hemorrhage 24 h after delivery were higher than those in the control group,and the differences were statistically significant(P<0.05).The uterine scar thickness was positively correlated with the Apgar scores of newborns at 1 and 10 minutes after birth(r=0.583,0.541,P<0.05),and negatively correlated with fetal distress,uterine rupture,and postpartum hemorrhage 24 hours after birth(r=-0.394,-0.411,-0.571,P<0.05).Conclusion The uterine scar thickness is positively correlated with the Apgar score of newborns at 1 and 10 minutes after birth,and negatively correlated with fetal distress,uterine rupture,and postpartum bleeding volume 24 hours.It is closely related to the maternal and infant outcomes of scar pregnancy patients,which has important clini

关 键 词：阴道超声 子宫瘢痕厚度 母婴结局 相关性 

分 类 号：R445.1[医药卫生—影像医学与核医学] R719.8[医药卫生—诊断学]