子宫前壁肌层厚度与早产关联性研究.docVIP

子宫前壁肌层厚度与早产关联性研究 　　[摘要] 目的 探讨子宫前壁肌层厚度与早产发生的关联。方法 于2010年1月―2014年12月在该院产检的孕20～28周产妇行三维彩色超声仪测量孕20～28周孕妇的子宫前壁肌层厚度，分析其与早产发生的相关性。结果 研究最终纳入855例孕妇，其中早产组118例，足月组737例。早产组孕中期子宫前壁肌层厚度为（5.57±0.78） mm，足月组为（5.36±2.12） mm，两组差异无统计学意义（P=0.290.05）。在有胎膜早破中，早产组的子宫前壁肌层厚度为（5.77±0.81） mm，较足月（5.20±1.15） mm显著增厚，两组比较差异有统计学意义（P0.05）。 结论 妊娠中期子宫前壁肌层厚度与自发性早产和胎膜早破早产均存在关联，但子宫前壁肌层厚度可能不是早产的独立影响因素。 　　[关键词] 子宫前壁肌层厚度；早产；超声检测 　　[中图分类号] R7 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0064-03 　　Relationship Between the Anteriormyometrial Thickness and Preterm Delivery 　　REN Hui，HAN Xiao，JIA Sai-yu 　　Department of Ultrasound， Changzhou Maternity and Child Health Care Hospital affiliated to Nanjing Medical University， Changzhou， Jiangsu Province， 213003 China 　　[Abstract] Objective To investigate the relationship between the anteriormyometrial （MA） thickness and preterm delivery by ultrasound. Methods Some pregnant women underwent prenatal examination in this hospital between January 2010 and December 2014 at 20-28 gestational weeks， and we measured the MA thickness using 3D-color ultrasonic instrument and analyzed its relationship with preterm delivery. Results A total number of 855 pregnant women were enrolled in this study， in which 118 were assigned to preterm delivery group and 737 to full term group. The MA thickness was 5.57±0.78 mm in the preterm delivery group and 5.36±2.12 mm in the full term group， and there was no statistically significant difference between them， （P=0.29）. Among those who experienced premature rupture of membranes， the MA thickness was 5.77±0.81mm in the preterm delivery group， significantly higher than that， 5.20±1.15 mm， in the full term group， and the difference was statistically significant， P0.05. Conclusion Mid-term MA thickness is correlated with spontaneous preterm delivery and that caused by premature rupture of membranes， but may not be an independent factor. 　　[Key words] Anteriormyometrial thickness； Preterm delivery； Ultrasound 　　早产是指在妊娠28～37周间分娩者，是常见的妊娠并发症之一[1]。