在解剖扫描时进行常规的阴道超声波:做还是不做?
Olivia Grubman1, Mackenzie Mitchell1, Thomas Owens1
1Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai West, New York.
American journal of perinatology
|October 21, 2024
概括
在解剖扫描时的通用透阴超声波 (UTVUS) 并没有减少早产,产后出血或NICU入院. 这种方法对基于风险的TVUS没有显著的好处,尽管增加了成本和患者的不适.
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
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在解剖扫描时的通用透阴超声波 (UTVUS) 缺乏确定的指导方针.
- TVUS可以评估宫长度 (CL) 和胎盘位置,但可能会增加干预措施.
- 实施UTVUS旨在改善妊娠结果,如早产 (PTB),产后出血 (PPH) 和新生儿重症监护室 (NICU) 的入院.
研究的目的:
- 评估通用TVUS协议在解剖扫描对PTB,PPH和NICU入院的影响.
- 为了比较基于风险因素的TVUS和UTVUS的时期之间的结果.
主要方法:
- 从2021年2月到2022年1月,对单子妊娠的回顾性队列研究.
- 两组:"前" (基于风险因素的TVUS) 和"后" (在解剖扫描时的UTVUS).
- 分析包括PTB,PPH,NICU入院率和其他临床数据.
主要成果:
- 在UTVUS和基于风险的TVUS组之间,PTB,PPH或NICU入院没有显著差异.
- UTVUS组显示阴道孕激素的使用增加和胎盘前的诊断,尽管大多数解决了.
- 在UTVUS中,两组之间宫长度 (CLs) 没有差异.
结论:
- 在解剖扫描时的通用TVUS并没有减少不良妊娠结果.
- 实施UTVUS增加了患者的不适,扫描时间和成本.
- 基于风险因素的TVUS监测可能是UTVUS的合理替代方案.
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