拉頂氏徵象
外觀
拉頂氏徵象(Ladin's sign)是一種懷孕的醫學徵象[1],是指子宮和子宮頸交界處的前方中線處變軟的情形,約在孕期六週時出現,而且可以用人工檢查來發現[2]。
若婦女認為有懷孕可能,進行第一次的骨盆檢查時,一般就會出現拉頂氏徵象[3]。子宮頸長度在懷孕期間也很重要,子宮頸長度過短可能會增加早產以及分娩的可能性,而在分娩開始時,子宮頸長度會自然縮短[4]。受孕造成的子宮頸軟化以及其他懷孕的早期徵象,有助於醫師診斷是否懷孕[5]。
子宮頸軟化的原因,除了拉頂氏徵象以外,在懷孕時也可能會有子宮頸異常軟化,因此需要透過包括剪力波速度量測(sheer wave speed measurement)在內的檢查,來區分正常的拉頂氏徵象以及異常的子宮頸軟化[6]。
相關條目
[編輯]相關條目
[編輯]- ^ Katherine McLaren. Nursing Study Guide: Your Nursing Assistant To Do Well In School. Katherine McLaren. : 39–. GGKEY:PP0HZRR9PY6.
- ^ Alan H. DeCherney, Martin L. Pernoll, Lauren Nathan. Current Obstetric & Gynecologic Diagnosis & Treatment, page 196. McGraw-Hill Professional, 2002. ISBN 978-0-8385-1401-6. Google books
- ^ Clinical examination of pregnant women. NICE Clinical Guidelines (National Collaborating Centre for Women's and Children's Health). March 2008.
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被忽略 (幫助) - ^ Cervical length: Why does it matter during pregnancy? - Mayo Clinic. www.mayoclinic.org. [2018-11-07] (英語).
- ^ Badir S, Mazza E, Zimmermann R, Bajka M. Cervical softening occurs early in pregnancy: characterization of cervical stiffness in 100 healthy women using the aspiration technique. Prenatal Diagnosis. August 2013, 33 (8): 737–41. PMID 23553612. S2CID 25260888. doi:10.1002/pd.4116.
- ^ Rosado-Mendez IM, Carlson LC, Woo KM, Santoso AP, Guerrero QW, Palmeri ML, Feltovich H, Hall TJ. Quantitative assessment of cervical softening during pregnancy in the Rhesus macaque with shear wave elasticity imaging. Physics in Medicine and Biology. April 2018, 63 (8): 085016. Bibcode:2018PMB....63h5016R. PMC 5908736 . PMID 29517492. doi:10.1088/1361-6560/aab532.