[1]李小娟 孙树柳 段海霞 李兰兰 徐秀利**.体外受精-胚胎移植术前与孕早期腹腔镜宫颈环扎术的比较[J].中国微创外科杂志,2021,01(11):1006-1010.
　Li Xiaojuan,Sun Shuliu,Duan Haixia,et al.Comparative Analysis of Laparoscopic Transabdominal Cervicoisthmic Cerclage Before IVFET and at Earlypregnant Period[J].Chinese Journal of Minimally Invasive Surgery,2021,01(11):1006-1010.
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体外受精-胚胎移植术前与孕早期腹腔镜宫颈环扎术的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年11期
页码:
1006-1010
栏目:
临床研究
出版日期:
2021-11-25

文章信息/Info

Title:
Comparative Analysis of Laparoscopic Transabdominal Cervicoisthmic Cerclage Before IVFET and at Earlypregnant Period
作者:
李小娟 孙树柳 段海霞 李兰兰 徐秀利**
(西北妇女儿童医院生殖妇科，西安710061)
Author(s):
Li Xiaojuan;  Sun Shuliu;  Duan Haixia;  et al.
Department of Reproduction Gynecology, Northwest Women and Children’s Hospital, Xi’an 710061, China
关键词:
腹腔镜宫颈环扎术; 宫颈机能不全; 体外受精-胚胎移植; 妊娠结局
Keywords:
Laparoscopic transabdominal cervicoisthmic cerclage; Cervical incompetence; In vitro fertilization and embryo transfer; Pregnancy outcome
文献标志码:
A
摘要:
目的探讨合并宫颈机能不全的体外受精-胚胎移植(in vitro fertilization and embryo transfer，IVFET)行腹腔镜宫颈环扎术(laparoscopic transabdominal cervicoisthmic cerclage，LTCC)的时机。方法回顾性分析2017年3月~2020年3月122例IVFET合并宫颈机能不全患者行LTCC的临床资料，其中孕前手术98例(孕前组)，早孕期手术24例(早孕组)，对比2组手术时间、术中出血量、术后住院时间、围手术期并发症、分娩结局、新生儿情况等。结果2组LTCC手术均获成功。孕前组手术时间短［(18.6±3.6)min vs. (32.2±4.1)min，t=-17.196，P=0000］，术后住院时间短［(3.1±0.9)d vs.(5.2±1.1)d，t=-8.827，P=0.000］，2组手术出血量、围手术期并发症发生率以及妊娠结局、分娩孕周、新生儿窒息率及出生体重差异均无统计学意义(P>0.05)。结论IVFET合并宫颈机能不全患者在孕前或早孕期进行LTCC手术均安全有效，但孕前手术较早孕期使患者获益更多。
Abstract:
ObjectiveTo explore the surgery opportunity choice of laparoscopic transabdominal cervicoisthmic cerclage (LTCC) in cervical incompetence patients who underwent in vitro fertilization and embryo transfer (IVFET).MethodsThe data of 122 patients with cervical incompetence undergoing LTCC before or after IVFET were analyzed retrospectively from March 2017 to March 2020. The patients were divided into prepregnancy group (n=98) and earlypregnancy group (n=24). Perioperative conditions and reproductive outcomes were analyzed respectively, including operation time, intraoperative blood loss, postoperative hospital time, perioperative complications, delivery outcomes and neonate outcomes.ResultsLTCC was performed successfully in both groups. The operation time ［(18.6±3.6) min vs. (32.2±4.1) min, t=-17.196, P=0.000］ and postoperative hospital time ［(3.1±0.9) d vs. (5.2±1.1) d, t=-8.827, P=0.000］ of prepregnancy group were significantly shorter than that of the earlypregnancy group. There was no significant difference between the two groups in blood loss, perioperative complications rate, gestational results, neonatal asphyxia rate, or neonate birth weights.ConclusionLTCC can be performed in prepregnancy and earlypregnancy in IVFET and cervical incompetence patients, and prepregnancy group benefits more from it.

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备注/Memo

备注/Memo:
基金项目：陕西省卫健委扶植项目(2014D88)**通讯作者，Email：781443534@qq.com
更新日期/Last Update: 2022-02-10