真正的带结的临床意义:一个倾向得分匹配研究
Ohad Houri1, Or Bercovich2, Avital Wertheimer2
1Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky Street, 4941492, Petach Tikva, Israel. ohadhouri@gmail.com.
BMC pregnancy and childbirth
|January 12, 2024
概括
真正的带结 (TUCK) 是一种罕见的疾病,影响0.8%的分娩. 虽然TUCK具有可识别的风险因素,并且与紧急剖腹产的增加有关,但孕妇的主要产科和围产并发症风险较低.
科学领域:
- 围产儿医学 围产儿医学
- 产科 产科 产科 产科 产科
- 胎儿的发育 胎儿的发育
背景情况:
- 真正的带结 (TUCK) 是一个罕见的产科发现.
- 胎可能会增加母亲的焦虑,并需要加强胎儿监测.
- 了解TUCK的发病率,风险因素和结果对于临床管理至关重要.
研究的目的:
- 为了评估 TUCK 的发生率.
- 为了确定与 TUCK.相关的风险因素.
- 评估 TUCK 怀孕中的产科和新生儿结局.
主要方法:
- 从2007年到2019年的回顾性队列研究在高等大学医学中心.
- 确定的单独怀孕与产后诊断的 TUCK.
- 使用倾向分数匹配 (PSM) 来比较结果与对照组.
主要成果:
- 翻转发生在0.8%的分娩中.
- TUCK与母亲年龄较大,怀孕时间较长和先前死产有关.
- 胎与紧急剖腹产相关,因为胎儿心率不令人放心,羊水有污染.
- 新生儿的结局是相似的,除了较低的1分钟Apgar分数和TUCK组新生儿发作增加.
- 在 TUCK 组中,死胎率较高,但在统计学上并不显著.
结论:
- 存在可识别的 TUCK 的风险因素.
- 怀孕的女性可以放心,因为一般来说,重大并发症的风险很低.
- TUCK对死产的潜在保护作用需要进一步研究.
更多相关视频
09:00Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
2.0K
09:04Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
Published on: September 5, 2011
14.9K
相关概念视频
01:17Sign Test for Matched Pairs
132
The sign test for matched pairs offers a robust method for comparing two paired samples, often for the effects of an intervention in one of them. This method is very useful in situations where the underlying distribution of the data is unknown. The test compares two related samples—often pre- and post-treatment measurements on the same subjects—to determine if there are significant differences in their median values.
To conduct the sign test, we first calculate the differences in...
To conduct the sign test, we first calculate the differences in...
132
01:09Wilcoxon Signed-Ranks Test for Matched Pairs
130
The Wilcoxon signed-rank test for matched pairs evaluates the null hypothesis by combining the ranks of differences with their signs. It essentially tests whether the median of the differences in a population of matched pairs is zero. Since the test incorporates more information than the sign test, it generally yields more trustable conclusions. This test also does not require the data to follow a normal distribution, but two conditions must be met for it to be applicable: (1) the data must...
130