充满或空的膀对外脑膀的影响 版本成功:一项随机对照试验
Doron Kabiri1, Rani Haj Yahya2, Shlomi Yahalomi1
1Hadassah Medical Organization and Faculty of Medicine, Department of Obstetrics and Gynecology, Hebrew University of Jerusalem, Jerusalem, Israel (Dr Kabiri, Dr Yahya, Dr Yahalomi, and Dr Ezra).
American journal of obstetrics & gynecology MFM
|January 18, 2024
概括
膀满或空并没有显著影响外部脑膜版本的成功率. 这项随机试验表明,女性不需要充满膀来改善这种手术的结果.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿医学 胎儿医学
背景情况:
- 外部头部表达式 (ECV) 是一种在分娩前将部表达式转换为头部表达式的程序.
- 母亲因素,如膀体积对ECV成功的影响仍在争论中.
研究的目的:
- 为了研究尿膀状态 (满与空) 对外部头部版本的成功率的影响.
- 为优化ECV程序提供基于证据的指导.
主要方法:
- 一项前性随机对照试验,涉及70名孕妇,她们在产期时出现单体部表现.
- 参与者被随机分为两个组:空膀的ECV和充满膀的ECV.
- 经验丰富的产科医生在超声指导下进行了手术.
主要成果:
- 在充满膀组中,ECV的成功率为67.56%,在空膀组中为54.54%.
- 两组之间没有观察到成功率的统计学上显著差异 (P=.26).
- 成功ECV的相对风险为1.23 (95% CI,0.84-1.81),证实没有显著差异.
结论:
- 膀体积 (满或空) 并没有显著影响术语单体部表现的外部头部版本的成功率.
- 目前的研究结果表明,充满膀是不必要的,以提高ECV成功率.
- 这表明了对ECV的程序前准备的潜在简化.
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