宫颈腺区域可作为超声检查预测早产的指标

作     者：Pires C.R. Moron A.F. Mattar R. 朱国栋 

作者机构：Federal UniversitySao Paulo (Brazil)-Obstetrics DepartmentSo PauloSPBrazil 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第12期

页      面：56-57页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：宫颈腺 超声检查 宫颈长度测量 周前 漏斗部 前瞻性队列研究 

摘      要：Objective:To assess the association between spontaneous preterm delivery (SPTD) in the general population and the measurement of the cervix length,cervical funneling,and absence of the cervical gland area (CGA).Method:A prospective cohort of 338 women carrying uncomplicated pregnancies was evaluated by transvaginal sonography between 21 and 24 weeks’gestation. Results:Measurement of cervical length with less than 20 mm and the presence of cervical funneling presented a statistically significant association with SPTD before 35 weeks. The non-detection of CGA demonstrated a strong association with SPTD before 37 weeks’(p 0.001; OR = 194.5) and before 35 weeks’gestation (p 0.001; OR = 129.6). The multiple logistic regression analysis suggested the non-detection of CGA as the only variable to reveal statistically significance association with SPTD. Conclusion:The results seem to indicate that the absence of CGA can be a new and important ultrasound marker for SPTD,to be confirmed by future multicenter investigations.