单胎孕妇自发性早产预测的研究  

Study on the prediction of spontaneous premature birth in single pregnant women

作　　者：吕梓萌 胡景远 刘蔚[2] LYU Zimeng;HU Jingyuan;LIU Wei(Department of Ultrasound Diagnosis,Xuanwu Hospital,Capital Medical University,Beijin 100053,China;Department of Ultrasound Medicine,The First Affiliated Hospital of Shandong First Medical University(Qianfoshan Hospital in Shandong Province),Key Laboratory of Abdominal Medical Imaging in Shandong Province,Jinan 250014,China;Department of Ultrasound,Jinan Central Hospital,Central Hospital Affiliated to Shandong First Medical University,Jinan 250013,China)

机构地区：[1]首都医科大学宣武医院超声诊断科,北京100053 [2]山东第一医科大学第一附属医院(山东省千佛山医院)超声医学科,山东省医药卫生腹部医学影像学重点实验室,山东济南250014 [3]济南市中心医院,山东第一医科大学附属中心医院超声科,山东济南250013

出　　处：《医学影像学杂志》2025年第1期139-142,147,共5页Journal of Medical Imaging

摘　　要：早产作为妊娠常见的并发症之一,是围产医学领域最复杂且最具挑战性的问题之一,严重影响新生儿的存活及预后,被认为是围产期胎儿患病和死亡的首要原因,根据病因可分为医源性早产和自发性早产(spontaneous preterm delivery,sPTB)。为此,许多学者都在不断探索sPTB的病因及危险因素,也试图建立合适的预测模型对孕妇sPTB的风险进行预测。但预测模型的建立难度大,目前已有的预测模型中纳入的预测因子或较局限,或较难获得,预测效果差强人意。超声检查结合孕妇的临床信息及病史可以为早产预测提供更准确、可靠的信息,可进一步为改善妊娠结局及早产儿预后提供依据。本文对sPTB的高危因素、国内外预测模型的研究进展进行综述如下。Premature birth,as one of the common complications of pregnancy,is one of the most complex and challenging issues in the field of perinatal medicine.It seriously affects the survival and prognosis of newborns and is considered the leading cause of fetal illness and death during the perinatal period.It is a common problem that troubles humans worldwide,and can be divided into iatrogenic premature delivery(sPTB)and spontaneous premature delivery(sPTB)according to their causes.Therefore,many researchers are constantly exploring the causes and risk factors of sPTB,and trying to establish appropriate prediction models to predict the risk of sPTB in pregnant women.However,the establishment of predictive models is difficult.Currently,the predictive factors included in existing predictive models are either limited or difficult to obtain,resulting in unsatisfactory predictive performance.Ultrasound examination combined with clinical information and medical history of pregnant women can provide more accurate and reliable information for predicting premature birth in clinical practice,and further provide a basis for improving pregnancy outcomes and premature birth prognosis.This article provides a review of the research progress on high-risk factors and prediction models for sPTB both domestically and internationally.

关 键 词：自发性早产 危险因素 预测模型 超声检查 

分 类 号：R714.21[医药卫生—妇产科学] R445.1[医药卫生—临床医学]