现代妇产科进展2025，Vol.34Issue(11)：814-820,825,8.DOI:10.13283/j.cnki.xdfckjz.2025.11.031
宫颈前角及宫颈长度联合炎症因子预测宫颈环扎术后早产的临床价值
Clinical utility of anterior cervical angle and cervical length combined with inflammatory biomarkers in predicting preterm birth following cervical cerclage
李昕彤 1孙静莉 2张玉 2郭丽颖 3闫靖奇4
作者信息
- 1. 大连医科大学中国人民解放军北部战区总医院研究生联合培养基地,沈阳 110000
- 2. 中国人民解放军北部战区总医院,沈阳 110000
- 3. 中国医科大学中国人民解放军北部战区总医院研究生联合培养基地,沈阳 110000
- 4. 锦州医科大学中国人民解放军北部战区总医院研究生联合培养基地,沈阳 110000
- 折叠
摘要
Abstract
Objective:To investigate the predictive efficacy of anterior cervical angle(ACA),cervical length(CL)and inflammatory factors on preterm labor after cervical cerclage,and to establish a clinically applicable prediction model.Methods:Clinical and ultrasound data of 261 transvaginal cervical cerclage patients from January 2020 to June 2024 in the General Hospital of the Northern Theater of Operations of the Chinese People's Liberation Army were se-lected.Grouped by gestational week of delivery(<34 weeks vs≥34 weeks),logistic regression was used to analyze the independent risk factors for preterm delivery and construct a joint pre-diction model.Model efficacy was assessed by ROC curve,calibration curve and decision curve(DCA).Results:Systemic immunoinflammatory index(SII)on postoperative day 1,ACA at 2～4 weeks postoperatively,CL at 2～4 weeks postoperatively and adverse pregnancy history were independent predictors of preterm labor.The joint prediction model had an AUC of 0.884(95%CI:0.837～0.931),with high predictive accuracy,good calibration and clinical utility.Conclusion:ACA,CL and inflammatory factors can effectively predict the risk of preterm labor after cervical cerclage,and the joint prediction model is stable in its efficacy,which can provide a reference basis for clinical intervention.关键词
宫颈环扎术/宫颈前角/宫颈长度/炎症标志物/早产Key words
Cervical cerclage/Anterior cervical angle/Cervical length/Inflammatory markers/Preterm labor分类
临床医学引用本文复制引用
李昕彤,孙静莉,张玉,郭丽颖,闫靖奇..宫颈前角及宫颈长度联合炎症因子预测宫颈环扎术后早产的临床价值[J].现代妇产科进展,2025,34(11):814-820,825,8.
