Celen Sevki, Dover Necmiye, Seckin Berna, Goker Ufuk, Yenicesu Okan, Danisman Nuri
Zekai Tahir Burak Women's Health Education and Research Hospital, Hamamonu, 06230 Ankara, Turkey.
ISRN Obstet Gynecol. 2012;2012:308759. doi: 10.5402/2012/308759. Epub 2012 Oct 14.
We showed the utility of first trimester ultrasonography before 11 weeks of gestation for antenatal followup. We retrospectively analyzed 1295 records of patients who underwent first trimester ultrasonography (transvaginal/abdominal) in our antenatal clinic in Ankara, Turkey. Maternal age, parity, gestational age, and maternal gestational history were compared with ultrasonographic findings. Patients were divided into 12 groups based on ultrasonographic diagnoses in the first ultrasonographic scan, and called for a control examination within 10 days if the diagnostic findings were abnormal. The data were statistically analyzed using Kruskal-Wallis and chi-square tests. We noted 81.3% patients to have single, viable, intrauterine pregnancies, while 18.7% had abnormal or complicated pregnancies with uterine anomalies, ovarian cysts, fibroids, or subchorionic hematomas. Normal and anembryonic pregnancies had significantly lower median diagnostic period in the control ultrasonography than in the first examination. First trimester ultrasonography before 11 weeks of gestation is valuable in determining pregnancy outcomes.
我们展示了妊娠11周前的孕早期超声检查在产前随访中的作用。我们回顾性分析了在土耳其安卡拉我们的产前诊所接受孕早期超声检查(经阴道/腹部)的1295例患者的记录。将产妇年龄、产次、孕周和产妇妊娠史与超声检查结果进行比较。根据首次超声扫描的超声诊断将患者分为12组,如果诊断结果异常,则在10天内要求进行对照检查。使用Kruskal-Wallis检验和卡方检验对数据进行统计学分析。我们注意到81.3%的患者为单胎、存活、宫内妊娠,而18.7%的患者妊娠异常或合并子宫异常、卵巢囊肿、肌瘤或绒毛膜下血肿。正常妊娠和胚胎停育妊娠在对照超声检查中的中位诊断期显著低于首次检查。妊娠11周前的孕早期超声检查对于确定妊娠结局很有价值。