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超声测量宫颈长度对引产结局的预测作用

Ultrasound cervical length measurement in prediction of labor induction outcome.

作者信息

Kehila M, Abouda H S, Sahbi K, Cheour H, Chanoufi M Badis

机构信息

C Department, Tunis Maternity and Neonatology Center, Tunis El Manar University, Tunis, Tunisia.

Department of Gynecology, Hedi Chaker Teaching Hospital, sfax, Tunisia.

出版信息

J Neonatal Perinatal Med. 2016 May 17;9(2):127-31. doi: 10.3233/NPM-16915111.

Abstract

Induction of labor is one of the most common procedures in modern obstetrics, with an incidence of approximately 20% of all deliveries. Not all of these inductions result in vaginal delivery; some lead to cesarean sections, either for emergency reasons or for failed induction. That's why, It seems necessary to outline strategies for the improvement of the success rate of induced deliveries. Traditionally, the identification of women in whom labor induction is more likely to be successful is based on the Bishop score. However, several studies have shown it to be subjective, with high variation and a poor predictor of the outcome of labor induction. Transvaginal sonography for cervical measurement can be a more objective criterion in assessing the success of labor induction. Many studies have been done recently to compare cervical measurement and Bishop Score in labor induction.This paper reviewed the literature that evaluated sonographic cervical length measurement to predict induction of labor outcome.

摘要

引产是现代产科最常见的操作之一,在所有分娩中发生率约为20%。并非所有这些引产都能成功经阴道分娩;有些因紧急情况或引产失败而导致剖宫产。这就是为什么,似乎有必要概述提高引产成功率的策略。传统上,判断引产更可能成功的女性是基于Bishop评分。然而,多项研究表明该评分具有主观性,差异较大,且对引产结局的预测性较差。经阴道超声测量宫颈长度在评估引产成功方面可能是一个更客观的标准。最近进行了许多研究来比较宫颈测量和Bishop评分在引产中的作用。本文回顾了评估超声测量宫颈长度以预测引产结局的文献。

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