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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 17 - 23 (7page)
이용수
초록· 키워드
오류제보하기
ObjectiveTo evaluate the usefulness of transvaginal ultrasound measurements of cervical length before and after elective prophylactic cervical cerclage in predicting preterm delivery before 32 weeks of gestation.
MethodsWomen who underwent an elective cerclage operation at 14 to 19 weeks of gestation and who delivered between January 2004 and December 2009 were enrolled in this study (n=52). Ultrasonography was performed to measure cervical length before and after cerclage. The primary outcome was defined as preterm delivery before 32 weeks of gestation. A receiver operating characteristic curve was used to determine the most discriminating cut-off values of ultrasonographic cervical parameters predictive of preterm delivery before 32 weeks of gestation.
ResultsAmong the 52 patients studied, ten delivered before 32 weeks of gestation. Among the ultrasonographic cervical parameters compared, only the cervical length after cerclage was significantly different (shorter) in patients who delivered before 32 weeks of gestation (P=0.037) compared to that of those who delivered after 32 weeks of gestation in univariate and multivariate analyses (odds ratio, 0.402; 95% confidence interval, 0.174 to 0.925; P=0.021). The receiver operating characteristic curve showed that a cervical length of 25 mm or less after cerclage was predictive of preterm delivery before 32 weeks of gestation (area under curve, 0.71; 95% confidence interval, 0.56 to 0.87; P=0.029) with a sensitivity of 91.0% and a specificity of 30.0%.
ConclusionPatients with a cervical length less than 25 mm after elective cerclage may be at higher risk of preterm delivery before 32 weeks of gestation.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Higgins SP / 2004 / Cervical surveillance as an alternative to elective cervical cerclage for pregnancy management of suspected cervical incompetence / Aust N Z J Obstet Gynaecol 44:228~232
Nelson L / 2009 / Pregnancy outcomes following placement of elective, urgent and emergent cerclage / J Matern Fetal Neonatal Med 22:269~273
Lazar P / 1984 / Multicentred controlled trial of cervical cerclage in women at moderate risk of preterm delivery / Br J Obstet Gynaecol 91:731~735
Rush RW / 1984 / A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery / Br J Obstet Gynaecol 91:724~730
Althuisius SM / 2000 / Cervical incompetence prevention randomized cerclage trial (CIPRACT): study design and preliminary results / Am J Obstet Gynecol 183:823~829
Nelson L / 2009 / Pregnancy outcomes following placement of elective, urgent and emergent cerclage / J Matern Fetal Neonatal Med 22:269~273
Lazar P / 1984 / Multicentred controlled trial of cervical cerclage in women at moderate risk of preterm delivery / Br J Obstet Gynaecol 91:731~735
Rush RW / 1984 / A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery / Br J Obstet Gynaecol 91:724~730
Althuisius SM / 2000 / Cervical incompetence prevention randomized cerclage trial (CIPRACT): study design and preliminary results / Am J Obstet Gynecol 183:823~829
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