中国实用妇科与产科杂志2017，Vol.33Issue(3)：315-318,4.DOI:10.19538/j.fk2017030119
宫颈机能不全宫颈环扎术手术指征探讨
To investigate the surgical indication of cervical cerclage for cervical incompetence
李雪 1高爱华 1张迎春 2张弘1
作者信息
- 1. 苏州大学附属第二医院妇产科,江苏苏州215004
- 2. 苏州大学附属第二医院超声科,江苏苏州215004
- 折叠
摘要
Abstract
Objective To investigate the surgical indication of cervical cerclage for cervical incompetence.Methods From July 2009 to March 2015,a clinical randomized trial was carried out on 273 patients with cervical incompetence.In 178 cases,a McDonald suture was inserted,and in 95 cases,the pregnancy was managed expectantly.According to the number of previous second-trimester loss,the patients were divided into 4 groups,one spontaneous abortion:A1 group (cervical cerclage,n=76),B 1 group(expectant management,n=52);two spontaneous abortion:A2 group (cervical cerclage,n=88),B2 group(expectant management,n=40).Results Among the cervical cerclage group,the rate of live birth was 88.76％,and the rate of abortion was 11.2％.The live birth rate of expectant group was lower than that of the cerclage group.A significant difference was found in gestation age between A 1 group (35.4± 1.9)w and B 1 group (30.8±2.4)w,P＜0.05.Patients of A1 group could get heavier neonate birth weight than B1 group.There was significant difference between A2 group and B2 group in the gestational age,the incidence of preterm birth and neonate birth weight (P ＜ 0.05).Conclusion For cervical incompetence patients with recurrent second-trimester pregnancy miscarriage,cervical cerclage can effectively improve pregnancy outcome.关键词
宫颈机能不全/宫颈环扎术/手术指征Key words
cervical incompetence/cervical cerclage/surgical indication分类
医药卫生引用本文复制引用
李雪,高爱华,张迎春,张弘..宫颈机能不全宫颈环扎术手术指征探讨[J].中国实用妇科与产科杂志,2017,33(3):315-318,4.
