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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Transvaginal sonographic assessment of cervix in prediction of admission to delivery interval in preterm premature rupture of membranes
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Transvaginal sonographic assessment of cervix in prediction of admission to delivery interval in preterm premature rupture of membranes

机译:子宫颈的经阴道超声分量分析在预测到膜早产暴裂的递送间隔中的预测

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摘要

Objective: To assess the usefulness of cervical parameters measured by transvaginal sonography, that is, cervical length and posterior cervical angle, in predicting the admission to delivery interval in women with preterm rupture of membranes. Methods: This prospective study was conducted in a tertiary care centre in South India. Women with preterm premature rupture of membranes at 28-34 weeks, confirmed clinically, not in labour and presenting within 24 hours to hospital were included. We evaluated the relationship between latency interval and transvaginal sonographic parameters (cervical length and posterior cervical angle), parity, age, Amniotic Fluid Index (AFI), total leucocyte count at admission using Cox proportional hazards model. Results: Mean time interval between the membrane rupture and delivery was 96.9 h. Majority of the women (63.8% (n = 51)) delivered within 48 hours. Transvaginal sonographic cervical length was not shown to be associated with latency interval (p- .559), whereas. Posterior cervical angle was shown to be significantly associated with the interval (hazard ratio 1.03, 95%CI: 1.01-1.06;p = .003) Conclusions: Posterior cervical angle assessment using transvaginal sonography is an useful tool in the assessing the latency interval in women with preterm premature rupture of membranes (PPROM). This could help in counselling and planning timely referral to centres with neonatal facilities.
机译:目的:评估宫颈参数通过经诊断超声检查测量的有用性,即宫颈长度和后宫颈角度,预测早产膜破裂的妇女的妇女分娩间隔的入院。方法:该预期研究在印度南部的一级护理中心进行。早产其早黄破裂的膜在28-34周的早产,在临床上确认,不在劳动力和24小时内呈现给医院。我们评估了潜伏期间隔和经诊断超声波的关系(宫颈长度和后宫颈角),奇偶校验,年龄,羊水指数(AFI),使用COX比例危害模型进行入院时的总白细胞计数。结果:膜破裂和递送之间的平均时间间隔为96.9小时。大多数女性(63.8%(n = 51))在48小时内交付。 Transvaginal超声宫颈长度未显示与延迟间隔相关(P-.559),而。显示后宫颈角度明显与间隔(危险比1.03,95%CI:1.01-1.06; p = .003)结论:使用经诊断超声检查的后颈角度评估是评估延迟间隔中的有用工具患有早产的妇女过早破裂的膜(PPROM)。这有助于咨询和规划及时转诊到与新生儿设施的中心。

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