比索普分数和子宫长度的比较,以确定在引产前需要子宫成熟的需要
Hakan Demir1, Emre Köle2, Merve Çakır Köle3
1Department of Obstetrics and Gynecology, Zonguldak Obstetrics and Gynecology State Hospital, Zonguldak, Türkiye, Türkiye. drhakandemir@hotmail.com.
Ginekologia polska
|November 7, 2023
概括
经阴道超声波和毕晓普分数评估子宫成熟期无产期怀孕没有显示出前列腺素需求的显著差异. 然而,子宫长度超过28毫米与较低的毕晓普得分和更长的分娩时间相关.
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
- 生殖医学 生殖医学
背景情况:
- 宫成熟对于在无产期怀孕中诱导分娩至关重要.
- 评估宫准备传统上依赖于主教得分.
- 需要客观的方法来评估宫状况.
研究的目的:
- 通过通过阴道超声波测量宫长度测量的疗效与主教得分进行比较.
- 确定它们在预测宫成熟时对前列腺素的需求方面的各自作用.
- 为了评估它们对无产期怀孕产生的产业诱导结果的影响.
主要方法:
- 一项随机对照试验,涉及120名无产期患者.
- 患者被分为子宫长度和主教分数组.
- 通过阴道的超声波和毕晓普评分都用于所有患者的评估.
主要成果:
- 两组之间对于宫成熟需要的丁诺普罗斯没有统计学上显著的差异 (p = 0.361).
- 毕晓普得分为4或以下与子宫长度超过28毫米 (p <0.05) 有显著关联.
- 宫长度≥28毫米的患者的分娩时间明显延长,毕晓普分数较低.
结论:
- 通过阴道的超声波测量宫长度和主教得分显示在确定需要前列腺素的宫成熟时具有相似的效用.
- 宫长度可以提供更客观的评估,与Bishop分数和分娩时间相关联.
- 需要进一步进行大规模的前性研究,以建立一个更客观的方法来取代主教分数系统用于分娩诱导.
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