实习生体验与体检和超声波指示的圆形:一个单一中心的回顾性研究
Burk Schaible1, Darcy Langhals1, Lesli Taylor2
1Department of Obstetrics and Gynecology, West Virginia University-Charleston Division, Charleston Area Medical Center, Charleston, WV.
Ochsner journal
|June 16, 2023
概括
身体检查和超声波显示的宫 cerclage 的怀孕结果类似. 这两种方法都显示出有利的胎儿/新生儿存活率和早产率,两组之间没有显著差异.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 宫衰竭,以宫扩张而没有收缩为特征,可以导致第二个月的怀孕流产或早产.
- 宫围是宫衰竭的标准治疗方法,包括患者病史,体检结果和超声波测量.
- 根据 cerclage 放置的适应症来比较结果对于优化患者护理至关重要.
研究的目的:
- 为了比较怀孕和分娩的结果,通过体检和超声波显示的宫围之间进行了比较.
- 评估在第三级护理环境中,住院人员进行的横椎带的有效性.
主要方法:
- 追溯性观察性描述性回顾第二个三个月的产科患者,他们接受过宫穿的 cerclage.
- 从2006年1月1日到2020年1月1日,在单一的三级医疗保健医疗中心收集的数据.
- 患者接受体检指示的 cerclage 和那些接受超声波指示的 cerclage 之间的结局的比较.
主要成果:
- 总共有43名患者在平均妊娠年龄为20.4周时接受了宫 cerclage.
- 胎儿/新生儿存活率相似 (体检组的80%vs超声组的82.6%).
- 两组之间在分娩时的妊娠年龄或早产率 (<37周) 中没有明显的差异. 孕产妇和新生儿的死亡率也相似.
结论:
- 经过体检和超声波指示的 cerclage 之后的怀孕结果在由住院人员进行时是相似的.
- 这两种迹象都显示出有利的胎儿/新生儿存活率和早产率.
- 研究结果表明,这两种方法在治疗宫缺陷方面都是有效的,在这个高等学术医疗中心环境中取得了相似的结果.
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