美国母胎医学会《无自然早产史女性短子宫颈的管理指南（2024）》解读

doi:10.12280/gjfckx.20250165

摘要/Abstract

摘要：

近年来早产发生率呈上升趋势，而大多数在妊娠34周前分娩的孕妇既往没有早产史。由于子宫颈缩短与早产的发生相关，因此评估宫颈长度并针对性地采取预防措施可减少早产的发生。经阴道超声评估妊娠中期宫颈长度是临床上预测自发性早产的最佳方法之一。2024年美国母胎医学会（Society for Maternal-Fetal Medicine，SMFM）发布了咨询系列第70号文件《无自然早产史女性短子宫颈的管理指南》，内容涵盖了宫颈长度的测量、短宫颈的定义及预防治疗措施，为没有早产史的短宫颈孕妇的诊断和治疗提供了指导。

关键词: 宫颈长度测量, 早产, 治疗, 诊疗指南, 短子宫颈

Abstract:

The rate of preterm birth has been increasing in recent years, most deliveries before 34 weeks of gestation occur in individuals with no previous history of preterm birth. Since short cervix is associated with preterm birth, cervical length assessment and targeted preventive measures can reduce the incidence of preterm birth. Midtrimester cervical length assessment using transvaginal ultrasound is one of the best clinical predictors of spontaneous preterm birth. In 2024, the Society for Maternal-Fetal Medicine (SMFM) issued the Consult Series No.70: Management of short cervix in individuals without a history of spontaneous preterm birth, covering cervix length assessment, definition of short cervix and its prevention and therapy. The recommendation provides guidance for the diagnosis and management of pregnant women with short cervix without a history of preterm birth.

Key words: Cervical length measurement, Preterm birth, Therapy, Diagnostic and treatment guideline, Short cervix

冷芹, 钟晓玲, 于威威. 美国母胎医学会《无自然早产史女性短子宫颈的管理指南（2024）》解读[J]. 国际妇产科学杂志, 2025, 52(3): 315-318.

LENG Qin, ZHONG Xiao-ling, YU Wei-wei. The Interpretation of 2024 SMFM Consult Series: Management of Short Cervix in Individuals without A History of Spontaneous Preterm Birth[J]. Journal of International Obstetrics and Gynecology, 2025, 52(3): 315-318.

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