[1]黄海梅.经会阴三维超声测量产程进展参数在分娩时长预测中的价值[J].医学信息,2023,36(23):141-144.[doi:10.3969/j.issn.1006-1959.2023.23.036]
　HUANG Hai-mei.Value of Transperineal Three-dimensional Ultrasound Measurement of Labor Progress Parameters in the Prediction of Delivery Duration[J].Journal of Medical Information,2023,36(23):141-144.[doi:10.3969/j.issn.1006-1959.2023.23.036]
点击复制

经会阴三维超声测量产程进展参数在分娩时长预测中的价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年23期
页码:
141-144
栏目:
诊疗技术
出版日期:
2023-12-01

文章信息/Info

Title:
Value of Transperineal Three-dimensional Ultrasound Measurement of Labor Progress Parameters in the Prediction of Delivery Duration
文章编号:
1006-1959（2023）23-0141-04
作者:
黄海梅
（赣州市人民医院/南方医院赣州医院，江西 赣州 341000）
Author(s):
HUANG Hai-mei
(Ganzhou People’s Hospital/Southern Hospital Ganzhou Hospital,Ganzhou 341000,Jiangxi,China)
关键词:
会阴三维超声; 产程进展参数; 胎头进展角
Keywords:
Perineal three-dimensional ultrasound; Parameters of labor progress; Angle of progression
分类号:
R714.3
DOI:
10.3969/j.issn.1006-1959.2023.23.036
文献标志码:
A
摘要:
目的 研究经会阴三维超声测量产程进展参数在分娩时长预测中的价值。方法 选取2021年1月-12月在我院进行阴道试产的80例产妇为研究对象，分别于第一产程（宫口开至4 cm）、第二产程（宫口开至4 cm后1~2 h）进行会阴三维超声测量产程进展参数[胎头方向角（HD）、胎头下降距离（HPD）、胎头进展角（AOP）、脑中线角度（MLA）]，观察第一、第二产程不同阴道超声测量参数（HD≤90°和＞90°、HPD≤30 mm和＞30 mm、AOP≤110°和＞110°、MLA＞75°和≤75°）自然分娩率、不同阴道超声测量参数（HD≤120°和＞120°、HPD≤40 mm和＞40 mm、AOP≤120°和＞120°、MLA＞75°和≤75°）分娩时长。结果 第一产程：AOP＞110°产妇自然分娩率大于AOP≤110°产妇（P＜0.05），HD≤90°和＞90°、HPD≤30 mm和＞30 mm、MLA＞75°和≤75°产妇自然分娩率比较，差异无统计学意义（P＞0.05）；HD＞90°、HPD＞30 mm、AOP＞110°、MLA≤75°产妇中位分娩时长均短于HD≤90°、HPD≤30 mm、AOP≤110°、MLA＞75°产妇（P＜0.05）。第二产程：HPD＞40 mm、AOP＞120°、MLA≤75°产妇自然分娩率均高于HPD≤40 mm、AOP≤120°、MLA＞75°产妇（P＜0.05），而HD≤120°和＞120°产妇自然分娩率比较，差异无统计学意义（P＞0.05）；HD＞120°、HPD＞40 mm、AOP＞120°、MLA≤75°产妇中位分娩时长均短于HD≤120°、HPD≤40 mm、AOP≤120°、MLA＞75°产妇（P＜0.05）。结论 经会阴三维超声测量产程进展参数对分娩时长具有一定的预测价值，可通过测量参数预测产程进展情况，从而预测分娩方式，进一步为分娩管理提供一定参考。
Abstract:
Objective To study the value of transperineal three-dimensional ultrasound measurement of labor progress parameters in the prediction of delivery time.Methods From January to December 2021, 80 parturients who underwent vaginal trial production in our hospital were selected as the research objects. The first stage of labor (cervix opening to 4 cm) and the second stage of labor (cervix opening to 4 cm after 1-2 h) were measured by perineal three-dimensional ultrasound to measure the progress parameters of labor [head direction (HD), head-perineum distance (HPD), angle of progression (AOP), midline angle (MLA)]. The natural delivery rate of different vaginal ultrasound measurement parameters (HD≤90° and >90°, HPD≤30 mm and >30 mm, AOP≤110° and >110°, MLA>75° and ≤75°) in the first and second stages of labor, and the delivery duration of different vaginal ultrasound measurement parameters (HD≤120° and >120°, HPD≤40 mm and >40 mm, AOP≤120° and >120°, MLA>75° and ≤75°) were observed.Results In the first stage of labor, the natural delivery rate of women with AOP>110° was higher than that of women with AOP≤110°(P<0.05), while there was no significant difference in the natural delivery rate between HD≤90° and >90°, HPD≤30 mm and >30 mm, MLA>75° and ≤75°(P>0.05); the median delivery time of women with HD>90°, HPD>30 mm, AOP>110° and MLA≤75° was shorter than that of women with HD≤90°, HPD≤30 mm, AOP≤110° and MLA>75°(P<0.05). In the second stage of labor, the natural delivery rate of women with HPD>40 mm, AOP>120° and MLA≤75° was higher than that of women with HPD≤40 mm, AOP≤120° and MLA>75°(P<0.05), while there was no significant difference in the natural delivery rate between HD≤120° and HD>120°(P>0.05); the median delivery time of women with HD>120°, HPD>40 mm, AOP>120° and MLA≤75° was shorter than that of women with HD≤120°, HPD≤40 mm, AOP≤120° and MLA>75°(P<0.05).Conclusion The parameters of labor progress measured by transperineal three-dimensional ultrasound have certain predictive value for the duration of delivery. The progress of labor can be predicted by measuring the parameters, so as to predict the mode of delivery and further provide some reference for delivery management.

参考文献/References:

[1]姜燕,于健,赵亚敏,等.产程观察中超声替代阴道指检的可行性研究[J].中国妇幼健康研究,2018,12(7):163-166.[2]李佳,尹爱兰,钟梅,等.经会阴三维超声测量产程进展参数在分娩时长预测中的价值研究[J].中国实用妇科与产科杂志,2016,32(10):979-985.[3]黄美霞,陈穗兰,闵羡蕙,等.B超检查对枕先露产程中胎方位诊断的评价[J].实用医学杂志,2007,23(16):2496-2497.[4]Mazzio KA,Prasad SKK,Okamoto K,et al.End-functionalized semiconducting polymers as reagents in the synthesis of hybrid II-VI nanoparticles[J].Langmuir,2018,34(33):9692-9700.[5]程娟娟,郭玮.应用会阴三维超声评估胎头方向角和胎头下降距离及在预测分娩方式的应用[J].中南医学科学杂志,2017,45(4):382-384.[6]Sapru S,Das S,Mandal M,et al.Prospects of nonmulberry silk protein sericin-based nanofibrous matrices for wound healing - In vitro and in vivo investigations[J].Acta Biomater,2018,78:137-150.[7]田晓辉,麦赞,邓妮,等.新产程标准及处理的临床应用探讨[J].中山大学学报(医学科学版),2015,36(5):734-738.[8]王颖琦,雷静,何小萍,等.脐带、胎盘超声产前诊断在产科急诊风险评估中的应用效果[J].中国妇幼保健,2017,32(19):4751-4753.[9]Hoelzer K,Bielke L,Blake DP,et al.Vaccines as alternatives to antibiotics for food producing animals. Part 1: challenges and needs[J].Vet Res,2018,49(1):64.[10]Yonetani N,Yamamoto R,Murata M,et al.Prediction of time to delivery by transperineal ultrasound in second stage of labor[J].Ultrasound Obstet Gynecol,2017,49(2):246-251.[12]王琳,王小倩,陈静.经腹部联合会阴超声测量产程进展参数在分娩时长预测中的价值研究[J]. 黑龙江医学,2019,43(8):962-963,965.[13]陈晓霞,胡琼.超声监测初产妇第一产程进展及预测阴道分娩的价值[C]//第4次贵州省中西医结合妇产科学术年会第4次贵州省中医药学会妇科专业学术年会论文集.2019:91-98.[14]钟润鸣,林伟利,季文斌.经会阴三维超声在产程监测中对分娩方式及分娩时间的预测价值[J].中国妇幼保健,2021,36(2):443-445. [15]李学会,谢智,苏建芬.三维超声技术在临产孕妇产程进展中的动态监测[J].贵州医药,2018,42(8):1001-1002.[16]张晓菁,王谢桐.超声在产房中的应用[J].中国实用妇科与产科杂志,2019,35(9):985-989.[17]田雪叶,韩蓁,全萌,等.经会阴三维超声监测产程进展各参数的可重复性研究[J].西安交通大学学报(医学版),2018,39(6):880-884.[18]翟珊珊,张丹焕.经会阴盆底超声检查评估女性盆底功能受不同分娩方式影响的价值[J].医学影像学杂志,2022,32(2):352-355[19]李学会,蒋小亚,苏建芬,等.经会阴三维超声技术在产程检查中的应用研究[J].重庆医学,2019,48(12):2124-2126.[20]胡楠楠.经会阴超声测量第一产程进展参数预测分娩方式的可行性研究[D].太原:山西医科大学,2022.

更新日期/Last Update: 1900-01-01