| 摘要: |
| 目的：探讨经会阴测量宫颈形态学指标对足月初产妇临产时间及分娩方式的预测价值。方法：收集我院2014.10-2015.12就诊的单胎足月初产妇119例，经会阴超声测量宫颈形态学指标包括宫颈管长度、宫颈内口宽度、羊膜囊嵌入内口的深度，记录数值并进行超声评分。并追踪分娩结局。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，临产时间缩短。且各组之间差异具有统计学意义。超声宫颈形态学评分，≥9者23例，临产时间为4.4±1.8小时；5?8分者77例，临产时间为33.9±8.2小时；≤4分者19例，临产时间为79.0±6.7小时，且差异具有统计学意义（ 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，能对足月初产妇临产时间及分娩方式起预测作用，是一种安全有效经济的检查手段。 |
| 关键词: 会阴超声 宫颈形态学 临产时间 分娩 |
| DOI： |
| 投稿时间：2017-08-18修订日期：2017-10-12 |
| 基金项目: |
|
| The predictivevalue of cervical maturity evaluated by transperineal sonography. |
| guowei |
| () |
| Abstract: |
| Abstract Objective: To explore the predictive value of cervical maturity evaluated by transperineal sonography。Methods: Collect single mature primipara 119 cases during 2014.10-2015.12. Measure the cervical morphological indicators by transperineal sonography including cervical length, width cervix, the mouth of the amniotic sac embedded in the depths, The values were recorded and ultrasound scores were carried out . And track the birth outcomes。Results: The shorter of the cervical length, the expansion of the cervix, the increasing scores of the mouth of the amniotic sac embedded in, the cervical ripening increases, then the labor time is shortened. The difference was statistically significant between the groups. The cervical ultrasound morphological scores respectively were≥9 were 23 cases, labor time was 4.4 ± 1.8 h; 5?8 were 77 cases, labor time was 33.9 ± 8.2 h; ≤4 were 19 cases, labor time was 79.0 ± 6.7 h, and the difference was statistically significant (p <0.05)。Conclusion: The cervical maturity could be evaluated by transperineal sonography through measurement of cervical morphological indicators. It could predict the time in labor and the mode of delivery in the single mature primiparas, and it is also a safe and effective mean of checking. |
| Key words: Transperineal sonography,Cervical morphology,Labor time,childbirth |
