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[1]楊丹林,張鈞,蔣玲玲,等.單胎宮頸環(huán)扎術(shù)的臨床療效及基于人工智能的影響因素分析[J].福建醫(yī)藥雜志,2023,45(04):4-7.
　YANG Danlin,ZHANG Jun,JIANG Lingling,et al.Analysis of clinical effect of McDonald cervical cerclage in singleton pregnancies and the related risk factors[J].FUJIAN MEDICAL JOURNAL,2023,45(04):4-7.
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單胎宮頸環(huán)扎術(shù)的臨床療效及基于人工智能的影響因素分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期數(shù):
2023年04期
頁(yè)碼:
4-7
欄目:
臨床研究
出版日期:
2023-08-15

文章信息/Info

Title:
Analysis of clinical effect of McDonald cervical cerclage in singleton pregnancies and the related risk factors
文章編號(hào):
1002-2600(2023)04-0004-04
作者:
楊丹林; 張鈞; 蔣玲玲; 潘勉1
福建省婦幼保健院(福州 350005)
Author(s):
YANG Danlin;  ZHANG Jun;  JIANG Lingling;  PAN Mian
Fujian Provincial Maternal and Child Health Hospital, Fuzhou, Fujian 350005, China
關(guān)鍵詞:
宮頸機(jī)能不全;  宮頸環(huán)扎;  影響因素
Keywords:
cervical insufficiency;  cervical cerclage;  risk factors
分類(lèi)號(hào):
R714.21
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討McDonald子宮頸環(huán)扎術(shù)的臨床療效及其影響因素。方法 回顧性分析2019年1月至2022年3月在我院行McDonald子宮頸環(huán)扎術(shù)的宮頸機(jī)能不全孕婦資料,并分別使用多因素logistic回歸、神經(jīng)網(wǎng)絡(luò)模型以分析宮頸環(huán)扎失敗的影響因素。結(jié)果 共納入226例孕婦,其中30例(13.3%)孕婦于孕28周之前流產(chǎn)。多因素logistic回歸分析結(jié)果:絨毛膜羊膜炎(OR=5.2; 95%CI 2.013,13.428; P=0.001)、血小板淋巴細(xì)胞比(PLR)(OR=1.013; 95%CI 1.005,1.021; P=0.02)和臀先露(OR= 6.372; 95%CI 2.017,13.428; P=0.001)是宮頸環(huán)扎失敗的影響因素。神經(jīng)網(wǎng)絡(luò)模型結(jié)果:宮口擴(kuò)張、絨毛膜羊膜炎、PLR、胎膜膨出、臀先露是環(huán)扎失敗的影響因素。結(jié)論 McDonald宮頸環(huán)扎術(shù)是宮頸機(jī)能不全的有效治療措施。宮口擴(kuò)張、絨毛膜羊膜炎、PLR、胎膜膨出、臀先露是環(huán)扎失敗的影響因素。
Abstract:
Objective To investigate the clinical efficacy of McDonald cervical cerclage and its influencing factors. Methods A retrospective analysis was conducted on data of pregnant women with cervical insufficiency who underwent McDonald cervical cerclage in our hospital from January 2019 to March 2022. Multivariable logistic regression and neural network model were used to analyze the factors influencing the failure of cervical cerclage. Results A total of 226 pregnant women were included, among which 30 cases(13.3%)experienced miscarriage before 28 weeks of gestation. The results of multivariable logistic regression analysis showed that chorioamnionitis(OR=5.2; 95%CI 2.013,13.428; P=0.001), platelet-to-lymphocyte ratio(OR=1.013; 95%CI 1.005,1.021; P=0.02), and breech presentation(OR=6.372; 95%CI 2.017,13.428; P=0.001)were factors influencing the failure of cervical cerclage. The neural network model revealed that cervical dilatation, chorioamnionitis, platelet-to-lymphocyte ratio, membrane prolapse, and breech presentation were factors associated with cerclage failure. Conclusion McDonald cervical cerclage is an effective treatment for cervical insufficiency. Cervical dilatation, chorioamnionitis, platelet-to-lymphocyte ratio, membrane prolapse, and breech presentation are factors influencing the failure of cerclage.

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備注/Memo

備注/Memo:
基金項(xiàng)目:福建省自然科學(xué)基金項(xiàng)目(2022J011034)
1 通信作者,Email:[email protected]
更新日期/Last Update: 2023-08-15