摘要
目的评价经阴道B超早期诊断宫颈机能不全及早期治疗的效果。方法测量29例宫颈机能不全者的宫颈长度,观察有无内口开大的征象,并与50例相同孕周的正常妊娠者进行比较。结果正常妊娠者的宫颈长度为36±9mm,宫颈机能不全者的宫颈长度显著短于正常妊娠者,并出现内口开大的征象。结论宫颈长度较正常妊娠妇女缩短>30%,伴有内口开大的征象是宫颈机能不全的重要表现。早期进行宫颈环扎术的孕妇预后良好。
Objective To evaluate the efficacy of vaginal ultrasonography for early diagnosis of cervical incompetency and the result of early treatment.Methods During a one year period in a single referral hospital,all patients(29)with diagnosis of cervical incompetence were considered candidates for this study.50 normal pregnant women as a control,whose gestational weeks were between 14 ̄28 weeks.Cervical change and length of these women were measured and compared to study group. Rusults The length of cervix in control group were 36±9 mm,that were significantly shorter than control group. Conclusion A cervical length shorter than 30 percent of normal pregnancy and accompanied by the sign of dilatation of internal os implies cervix incompetency.
关键词
宫颈机能不全
诊断
早期诊断
治疗
incompetent cervix early diagnosis early treatment