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Journal of Obstetrics and Gynecology<\/em>\u300b\u53d1\u8868\u3002<\/p><p>\u7814\u7a76\u53d1\u73b0\uff0c\u76f8\u6bd4\u8d77\u7f8e\u56fd\u5987\u4ea7\u79d1\u5b66\u9662 \uff08ACOG\uff09 \u548c\u82f1\u56fd\u56fd\u5bb6\u5065\u5eb7\u4e0e\u7167\u987e\u5353\u8d8a\u7814\u7a76\u9662\uff08NICE\uff09\u73b0\u6709\u7684\u5efa\u8bae\uff0cFMF\u4e09\u91cd\u68c0\u6d4b\u53ef\u63d0\u9ad8\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u9884\u6d4b\u7684\u7075\u654f\u5ea6\u548c\u51c6\u786e\u6027\uff0c\u4ee4\u68c0\u51fa\u7387\u63d0\u5347\u4e00\u500d\u3002<\/p><p><strong>\u5168\u7403\u81f3\u5c11\u6709<\/strong><strong>2%<\/strong><strong>\u5b55\u5987\u66fe\u60a3\u598a\u5a20\u6bd2\u8840\u75c7<\/strong><strong><\/strong><\/p><p>\u598a\u5a20\u6bd2\u8840\u75c7\u5f71\u54cd\u5168\u7403\u7ea62%\u81f38%\u7684\u5b55\u5987\uff0c\u4e5f\u662f\u5987\u5973\u5728\u6000\u5b55\u671f\u95f4\u51fa\u73b0\u5e76\u53d1\u75c7\u53ca\u6b7b\u4ea1\u4e2a\u6848\u7684\u4e3b\u8981\u539f\u56e0\uff0c\u6bcf\u5e74\u67097\u4e076\u5343\u540d\u5987\u5973\u548c50\u4e07\u4e2a\u5a74\u513f\u56e0\u6b64\u800c\u6b7b\u4ea1\u3002\u4f20\u7edf\u65b9\u6cd5\u4ee5\u6000\u5b5520\u5468\u540e\u51fa\u73b0\u9ad8\u8840\u538b\u548c\u86cb\u767d\u5c3f\u8bca\u65ad\u598a\u5a20\u6bd2\u8840\u75c7\u3002\u6b64\u75c7\u53ef\u5bfc\u81f4\u80be\u810f\u3001\u809d\u810f\u548c\u795e\u7ecf\u7cfb\u7edf\u53d7\u635f\u7b49\u4e25\u91cd\u75c5\u75c7\uff0c\u4ea6\u53ef\u80fd\u5bfc\u81f4\u80ce\u513f\u53d1\u80b2\u8fdf\u7f13\uff0c\u751a\u81f3\u65e9\u4ea7\u3002\u66fe\u60a3\u75c5\u7684\u5987\u5973\u5c06\u6765\u6709\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u53d1\u75c5\u7387\u4ea6\u4f1a\u589e\u52a0\u3002\u4e25\u91cd\u7684\u598a\u5a20\u6bd2\u8840\u75c7\u5bf9\u6bcd\u4eb2\u53ca\u80ce\u513f\u5747\u53ef\u9020\u6210\u81f4\u547d\u5371\u9669\u3002<\/p><p>\u4e2d\u5927\u533b\u5b66\u9662\u5987\u4ea7\u79d1\u5b66\u7cfb\u7cfb\u4e3b\u4efb<strong>\u6881\u5fb7\u6768\u6559<\/strong><strong>\u6388<\/strong>\u89e3\u91ca\uff1a\u300c\u533b\u5b66\u754c\u666e\u904d\u8ba4\u4e3a\u598a\u5a20\u6bd2\u8840\u75c7\u4e3b\u8981\u662f\u7531\u4e8e\u80ce\u76d8\u529f\u80fd\u8f83\u5dee\u6240\u81f4\uff0c\u4ee4\u80ce\u76d8\u65e0\u6cd5\u63d0\u4f9b\u8db3\u591f\u7684\u8840\u6db2\u7ed9\u80ce\u513f\uff0c\u5bfc\u81f4\u5b50\u5bab\u52a8\u8109\u8840\u7ba1\u8212\u5f20\u4e0d\u826f\uff0c\u7ee7\u800c\u5f15\u81f4\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u5e38\u89c1\u75c7\u72b6\u3002\u300d<\/p><p>\u6709\u8bc1\u636e\u663e\u793a\uff0c\u4e3a\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u9ad8\u98ce\u9669\u7684\u5b55\u5987\u5904\u65b9\u4f4e\u5242\u91cf\u7684\u963f\u58eb\u5339\u7075\u53ef\u4ee5\u4f7f\u4e25\u91cd\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u60a3\u75c5\u7387\u964d\u4f4e\u81f3\u5c11\u516d\u6210\uff0c\u4f46\u7531\u4e8e\u6b63\u786e\u5242\u91cf\u7684\u6cbb\u7597\u5fc5\u987b\u5728\u6000\u5b5516\u5468\u4e4b\u524d\u5f00\u59cb\uff0c\u56e0\u6b64\uff0c\u53ca\u65e9\u8bc6\u522b\u98ce\u9669\u5bf9\u4e8e\u9002\u65f6\u53ca\u6709\u6548\u9884\u9632\u8fd9\u79cd\u4e25\u91cd\u75c5\u75c7\u76f8\u5f53\u91cd\u8981\u3002<\/p><p><strong>FMF<\/strong><strong>\u4e09\u91cd\u68c0\u6d4b\u63d0\u4f9b\u5177\u66f4\u9ad8\u7075\u654f\u5ea6\u548c\u51c6\u786e\u6027\u7684\u7b5b\u67e5<\/strong><strong><\/strong><\/p><p>\u4f20\u7edf\u7684\u598a\u5a20\u6bd2\u8840\u75c7\u7b5b\u67e5\u65b9\u6cd5\u662f\u4ece\u5b55\u5987\u7279\u5f81\uff0c\u4ea7\u53f2\u548c\u75c5\u53f2\u4e2d\u8bc6\u522b\u98ce\u9669\u56e0\u7d20\u3002\u7b5b\u67e5\u65b9\u6cd5\u5747\u7531\u533b\u5b66\u754c\u6743\u5a01\u673a\u6784\u5efa\u8bae\uff0c\u4f8b\u5982ACOG\u548cNICE\u3002\u4f46\u6709\u8bc1\u636e\u663e\u793a\uff0c\u82e5\u4ec5\u57fa\u4e8e\u5b55\u5987\u98ce\u9669\u56e0\u7d20\u6765\u9884\u6d4b\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\uff0c\u7b5b\u67e5\u7684\u8868\u73b0\u5b9e\u4e3a\u6709\u9650\u3002<\/p><p>\u4e2d\u5927\u533b\u5b66\u9662\u5987\u4ea7\u79d1\u5b66\u7cfb\u6559\u6388<strong>\u6f58\u662d\u9890\u6559\u6388<\/strong>\u65e9\u5e74\u5728\u82f1\u56fd\u7387\u9886\u7814\u7a76\u56e2\u961f\u4e0e\u82f1\u56fd\u80ce\u513f\u533b\u5b66\u57fa\u91d1\u4f1a\uff08FMF\uff09\u5408\u4f5c\u5f00\u53d1\u51fa\u53e6\u4e00\u79cd\u7b5b\u67e5\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u65b9\u6cd5\uff0c\u540d\u4e3a\u300cFMF\u4e09\u91cd\u68c0\u6d4b\u300d\uff0c\u5e76\u5f97\u5230\u4e86\u56fd\u9645\u5987\u4ea7\u79d1\u8054\u5408\u4f1a\uff08FIGO\uff09\u7684\u8ba4\u53ef\u3002\u8be5\u7b5b\u67e5\u65b9\u6cd5\u7ed3\u5408\u75c5\u53f2\u548c\u5b55\u5987\u7279\u5f81\u4e0e\u5e73\u5747\u52a8\u8109\u538b\u3001\u5b50\u5bab\u52a8\u8109\u640f\u52a8\u6307\u6570\uff08UtA-PI\uff09\u548c\u8840\u6e05\u80ce\u76d8\u751f\u957f\u56e0\u5b50\uff08PlGF\uff09\uff0c\u6765\u8bc4\u4f30\u5b55\u5987\u60a3\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u98ce\u9669\u3002\u6b64\u65b9\u6cd5\u53ef\u5728\u65e9\u5b55\u671f\uff08\u5373\u6000\u5b5511\u81f313\u5468\uff09\u8bc4\u4f30\u60a3\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u7684\u98ce\u9669\uff0c\u5e76\u5df2\u5728\u591a\u4e2a\u6b27\u7f8e\u56fd\u5bb6\u5305\u62ec\u897f\u73ed\u7259\u3001\u610f\u5927\u5229\u548c\u7f8e\u56fd\u7b49\u901a\u8fc7\u4e86\u9a8c\u8bc1\u3002<\/p><p>\u4e3a\u4e86\u9a8c\u8bc1FMF\u4e09\u91cd\u68c0\u6d4b\u662f\u5426\u4e8e\u4e9a\u6d32\u5730\u533a\u4ea6\u53ef\u6709\u6548\u8bc6\u522b\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u9ad8\u98ce\u9669\u7684\u5b5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border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">&nbsp;<\/p><p class=\"1\" align=\"center\">&nbsp;<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">\u68c0\u51fa\u7387<br \/>(\u5047\u9633\u6027\u7387\u7ea6\u4e3a5%)<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">\u68c0\u51fa\u7387<br \/>(\u5047\u9633\u6027\u7387\u7ea6\u4e3a20%)<\/p><\/td><\/tr><tr><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">FMF\u4e09\u91cd\u68c0\u6d4b\u65b9\u6cd5<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">48.2%<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">75.8%<\/p><\/td><\/tr><tr><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">ACOG\u5efa\u8bae\u7684\u7b5b\u67e5\u65b9\u6cd5<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">-<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">54.6%<\/p><\/td><\/tr><tr><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">NICE\u5efa\u8bae\u7684\u7b5b\u67e5\u65b9\u6cd5<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">26.3%<\/p><\/td><td valign=\"top\" width=\"231\"><p class=\"1\" align=\"center\">-<\/p><\/td><\/tr><\/tbody><\/table><p><strong>\u53ef\u7528\u73b0\u6709\u57fa\u7840\u8bbe\u65bd\u548c\u6280\u672f\u8fdb\u884c<\/strong><strong>FMF<\/strong><strong>\u4e09\u91cd\u68c0\u6d4b<\/strong><\/p><p><strong>\u6f58\u662d\u9890\u6559<\/strong><strong>\u6388<\/strong>\u8868\u793a\uff1a\u300c\u7814\u7a76\u56e2\u961f\u8bc1\u5b9e\uff0c\u5230\u76ee\u524d\u4e3a\u6b62\uff0cFMF\u4e09\u91cd\u68c0\u6d4b\u6bd4\u4f20\u7edf\u7684ACOG\u548cNICE\u7684\u5efa\u8bae\u53ef\u4ee5\u66f4\u6709\u6548\u5730\u8bc6\u522b\u9ad8\u98ce\u9669\u5b55\u5987\u3002\u4f7f\u7528\u8fd9\u79cd\u65b9\u6cd5\u8fdb\u884c\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\u7b5b\u67e5\u5c06\u6709\u52a9\u4e8e\u65e9\u671f\u98ce\u9669\u8bc4\u4f30\u548c\u53ca\u65f6\u91c7\u53d6\u9884\u9632\u63aa\u65bd\uff0c\u5305\u62ec\u5904\u65b9\u4f4e\u5242\u91cf\u4e9a\u58eb\u5339\u7075\u3002\u800c\u4e14\uff0cFMF\u4e09\u91cd\u68c0\u6d4b\u4f7f\u7528\u73b0\u6709\u7684\u57fa\u7840\u8bbe\u65bd\u548c\u6280\u672f\u5373\u53ef\u9884\u6d4b\u65e9\u4ea7\u598a\u5a20\u6bd2\u8840\u75c7\uff0c\u4ee4\u76f8\u5173\u6280\u672f\u53ef\u4ee5\u5f88\u5feb\u6295\u5165\u4f7f\u7528\u3002\u300d<\/p><p>\u5982\u6709\u5174\u8da3\u4e86\u89e3\u66f4\u591a\u6709\u5173FMF\u4e09\u91cd\u68c0\u6d4b\u7684\u8d44\u6599\uff0c\u53ef\u6d4f\u89c8<a 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