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对子宫颈进行超声评估有必要且有帮助吗?

Is sonographic assessment of the cervix necessary and helpful?

作者信息

Larma Joel D, Iams Jay D

机构信息

Department of Obstetrics & Gynecology, Division of Maternal Fetal Medicine, The Ohio State University, Columbus, Ohio, USA.

出版信息

Clin Obstet Gynecol. 2012 Mar;55(1):324-35. doi: 10.1097/GRF.0b013e3182487e96.

DOI:10.1097/GRF.0b013e3182487e96
PMID:22343248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3521615/
Abstract

Transvaginal sonography of the cervix has emerged as a useful window into preterm parturition. Cervical sonography allows measurements of cervical length (CL), which can aid clinicians in identifying women at risk for preterm birth. The use of transvaginal assessments of CL can assist in the triage of patients with possible preterm labor. Recent studies also support the use of CL measurements as a means of determining appropriate candidates for cerclage placement and progesterone supplementation to reduce the risk of premature birth, further highlighting the importance of this modality in modern obstetric management.

摘要

经阴道宫颈超声检查已成为了解早产情况的一个有用窗口。宫颈超声检查可测量宫颈长度(CL),这有助于临床医生识别有早产风险的女性。经阴道评估宫颈长度可辅助对可能早产的患者进行分诊。近期研究还支持将测量宫颈长度作为确定合适的宫颈环扎术和补充孕酮候选人的一种方法,以降低早产风险,这进一步凸显了这种检查方式在现代产科管理中的重要性。

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本文引用的文献

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The rate of cervical change and the phenotype of spontaneous preterm birth.宫颈变化率与自发性早产的表型。
Am J Obstet Gynecol. 2011 Aug;205(2):130.e1-6. doi: 10.1016/j.ajog.2011.05.021. Epub 2011 May 14.
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Vaginal progesterone reduces the rate of preterm birth in women with a sonographic short cervix: a multicenter, randomized, double-blind, placebo-controlled trial.阴道用孕酮降低超声检查宫颈短的孕妇早产率:一项多中心、随机、双盲、安慰剂对照试验。
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Universal cervical-length screening to prevent preterm birth: a cost-effectiveness analysis.普遍的宫颈长度筛查以预防早产:成本效益分析。
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Am J Obstet Gynecol. 2010 Jun;202(6):548.e1-8. doi: 10.1016/j.ajog.2009.12.005. Epub 2010 Jan 15.
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Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length.多中心随机试验:针对孕中期宫颈长度缩短的高危女性采用宫颈环扎术预防早产
Am J Obstet Gynecol. 2009 Oct;201(4):375.e1-8. doi: 10.1016/j.ajog.2009.08.015.
6
Vaginal progesterone is associated with a decrease in risk for early preterm birth and improved neonatal outcome in women with a short cervix: a secondary analysis from a randomized, double-blind, placebo-controlled trial.阴道用黄体酮与短宫颈女性早期早产风险降低及新生儿结局改善相关:一项随机、双盲、安慰剂对照试验的二次分析
Ultrasound Obstet Gynecol. 2007 Oct;30(5):697-705. doi: 10.1002/uog.5159.
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Clinical significance of the presence of amniotic fluid 'sludge' in asymptomatic patients at high risk for spontaneous preterm delivery.无症状的自发性早产高危患者羊水中“淤泥”存在的临床意义。
Ultrasound Obstet Gynecol. 2007 Oct;30(5):706-14. doi: 10.1002/uog.4081.
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Progesterone and the risk of preterm birth among women with a short cervix.孕酮与宫颈短的女性发生早产的风险
N Engl J Med. 2007 Aug 2;357(5):462-9. doi: 10.1056/NEJMoa067815.
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