妊娠中期子宫宫颈角度测量在产科结局中的预测作用。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Merve Şişecioğlu, Emin Üstünyurt, Burcu Dinçgez Çakmak, Serkan Karasin, Nefise Nazlı Yenigül
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引用次数: 1

摘要

目的:子宫宫颈角被认为是预测早产的标志。然而,文献中关于其在早产中的预测作用的数据有限。此外,没有证据表明妊娠中期子宫宫颈角度在诱导成功和产后出血中的作用。本研究的目的是比较子宫宫颈角和宫颈长度在预测早产中的作用,并评估妊娠中期子宫宫颈角在诱导成功和产后出血中的作用。材料与方法:本研究共纳入125例诊断为早产住院的孕妇。超声测量宫颈长度和子宫宫颈角在妊娠16至24周之间进行。记录了参与者的人口统计学、产科、实验室和超声特征。患者分为早产儿和足月亚组;有或没有感应成功;有无产后出血。此外,早产病例分为早期和晚期早产亚组。对两组之间的变量进行评估。结果:早产组宫颈长度较短,分别为30.74±6.37和39.19±5.36,p85度预测早产的敏感性为100%,特异度为45.54%[曲线下面积(AUC)=0.743], p88度预测引产成功率的敏感性为84.78%,特异度为79.75% (AUC=0.887)。结论:子宫宫颈角度可作为预测早产和引产成功的有效指标,但不能预测产后出血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The predictive role of second trimester uterocervical angle measurement in obstetric outcomes.

The predictive role of second trimester uterocervical angle measurement in obstetric outcomes.

The predictive role of second trimester uterocervical angle measurement in obstetric outcomes.

The predictive role of second trimester uterocervical angle measurement in obstetric outcomes.

Objective: Uterocervical angle has been suggested as a marker to predict preterm birth. However, the literature has limited data about its predictive role in preterm delivery. Moreover, no evidence is present to clarify the role of second-trimester uterocervical angle in induction success and postpartum hemorrhage. Here, it was aimed to compare the role of uterocervical angle with cervical length in predicting preterm labor and assess the utility of the second-trimester uterocervical angle in induction success and postpartum hemorrhage.

Materials and methods: A total of 125 pregnant women, hospitalized with a diagnosis of preterm labor were included in the study. Sonographic measurements of cervical length and uterocervical angle were performed between 16 and 24 weeks of gestation. The demographic, obstetric, laboratory, and sonographic features of the participants were recorded. Patients were divided into subgroups as preterm and term; with and without induction success; with and without postpartum hemorrhage. Additionally, preterm cases were divided into subgroups as early and late preterm. Variables were evaluated between the groups.

Results: Cervical length was shorter in the preterm group (30.74±6.37 and 39.19±5.36, p<0.001). The uterocervical angle was 100.85 (85.2-147) in preterm and 88 (70-131) degrees in terms that were statistically significant (p<0.001). Furthermore, the uterocervical angle was wider [126 (100.7-147) and 98 (85.2-114), p<0.001] in the early preterm group. When the groups with and without postpartum bleeding were compared, no significant difference was detected in terms of uterocervical angle [96.5 (71-131) and 88 (70-147), p=0.164]. Additionally, the uterocervical angle was wider in the successful induction group (p<0.001). An a uterocervical angle >85 degrees predicted preterm delivery with 100% sensitivity and 45.54% specificity [area under the curve (AUC)=0.743, p<0.001]. When the cervical length and uterocervical angle were evaluated together to predict preterm delivery, no significant difference was found (p=0.086). An a uterocervical angle >88 degrees predicted induction success with 84.78% sensitivity and 79.75% specificity (AUC=0.887, p<0.001).

Conclusion: Our study revealed that the uterocervical angle can be a useful marker in predicting preterm labor and induction success, although it does not predict postpartum hemorrhage.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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