基于深度学习的经阴道超声图像对宫颈功能不全患者手术效率和时机的分析

Sci. Program. Pub Date : 2022-01-03 DOI:10.1155/2022/4455353
Xuekui Ye, Li Zhang, Rongxia Liu, Yongjuan Liu, Guowei Jiang
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引用次数: 0

摘要

目标。本工作旨在分析超声图像主题生成模型下基于宫颈功能不全(CIC)患者超声图像焦点检测的经阴道宫颈环结扎手术时机及临床疗效。方法:收集134例来医院进行超声成像诊断的CIC患者。观察组患者行宫颈环切术(CC)治疗,随访妊娠结局。对照组采用保守治疗。结果。对照组平均胎龄21.12±2.18周,平均宫颈长度(CL) 15.54±0.42 mm,平均子宫开口宽度3.06±0.63 mm。观察组平均胎龄24.45±4.12周,平均子宫内膜直径17.32±4.09 mm,平均子宫开口宽度0.21 mm。两组比较差异有统计学意义(P < 0.05)。两组患者子宫口扩张程度差异有统计学意义(P < 0.05)。比较两组妊娠结局,χ2、P < 0.05为差异有统计学意义。结论。采用卷积神经网络(CNN)和长短期记忆模型(LSTM)算法对患者超声图像进行分类,可有效提高诊治效率。观察组手术成功率、临床结局、新生儿存活率及临床效果均优于对照组。宫颈结扎术最好在妊娠17周前进行。
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Deep Learning-Based Analysis of Efficiency and Surgical Timing for Patients with Cervical Insufficiency Using Transvaginal Ultrasound Images
Objective. This work aims to analyze the surgical timing and clinical efficacy of transvaginal cervical ring ligation based on the ultrasound image focus detection of patients with cervical insufficiency (CIC) under the ultrasound image theme generation model. Methods. 134 CIC patients who came to the hospital for ultrasound imaging diagnosis were collected. Observation group was treated with cervical cerclage (CC) and the pregnancy outcome was followed up. Control group was treated conservatively. Results. For patients in the control group, average gestational age was 21.12 ± 2.18 weeks, average cervical length (CL) was 15.54 ± 0.42 mm, and average uterine opening width was 3.06 ± 0.63 mm. In the observation group, average gestational age was 24.45 ± 4.12 weeks, average CL was 17.32 ± 4.09 mm, and average uterine opening width was 0.21 mm. There were significant differences between the two groups ( P < 0.05 ). There were also significant differences in the degree of uterine orifice dilation between the two groups ( P < 0.05 ). Pregnancy outcomes of the two groups were compared, and χ2 and P < 0.05 indicated significant differences. Conclusion. Convolution neural network (CNN) and long short-term memory model (LSTM) algorithm were used to classify patients' ultrasound images, which could effectively improve diagnosis and treatment efficiency. Surgical success rate, clinical outcomes, neonatal survival rate, and clinical effect of observation group were better than those of control group. Cervical ligation was best performed before 17 weeks of pregnancy in CIC.
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