[1]张婷婷 应小燕** 许波群**.宫颈环扎术治疗中期妊娠宫颈机能不全的临床效果分析[J].中国微创外科杂志,2019,01(10):922-924928.
 Zhang Tingting,Ying Xiaoyan,Xu Boqun..Evaluation on Cervical Cerclage for Cervical Incompetence in Mid-term Pregnancy[J].Chinese Journal of Minimally Invasive Surgery,2019,01(10):922-924928.
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宫颈环扎术治疗中期妊娠宫颈机能不全的临床效果分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年10期
页码:
922-924928
栏目:
临床研究
出版日期:
2019-10-25

文章信息/Info

Title:
Evaluation on Cervical Cerclage for Cervical Incompetence in Mid-term Pregnancy
作者:
张婷婷 应小燕** 许波群**
(南京医科大学第二附属医院妇产科,南京210011)
Author(s):
Zhang Tingting Ying Xiaoyan Xu Boqun.
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China
关键词:
宫颈机能不全宫颈环扎术腹腔镜下宫颈环扎术预防性宫颈环扎
Keywords:
Cervical incompetenceCervical cerclageLaparoscopic cervical cerclageProphylactic cervical cerclage
文献标志码:
A
摘要:
目的观察宫颈环扎手术治疗中期妊娠宫颈机能不全的临床效果。方法回顾性分析2012年1月~2018年3月48例中期妊娠诊断为宫颈机能不全行宫颈环扎术的临床资料,观察患者术后情况[术后保胎时间、术后并发症(1周内阴道出血、胎膜早破、感染)]、妊娠结局(活产率、延长妊娠孕周、分娩孕周)及新生儿预后(出生体重及Apgar评分)。结果术后保胎时间(8.2±5.7)d。术后1周内阴道出血率33.3%(16/48)、胎膜早破率14.6%(7/48),感染率10.4%(5/48)。≥37孕周分娩22例,28~37孕周16例,<28孕周难免流产10例。围生儿存活率为86.8%(33/38),33例新生儿1 min Apgar评分7~10分,出生体重(2415±207)g,低出生体质量儿5例。结论对中期妊娠出现宫颈功能不全行宫颈环扎术可以有效改善患者的妊娠结局,根据患者自身情况个体化选择手术方式才能达到最佳疗效。
Abstract:
ObjectiveTo study the clinical effect of cervical cerclage for cervical incompetence.MethodsA retrospective analysis was performed in 48 cases of pregnant women with the cervical incompetence treated with cervical cerclage from January 2012 to March 2018. The situation after surgery (postoperative tocolytic days and postoperative complications including vaginal bleeding after a week, premature rupture of membranes and infection), pregnancy outcomes (live-birth rate, prolonged pregnancy gestational age, delivery gestational age) and neonatal prognosis (birth weight and Apgar score) were observed.ResultsThe patients received postoperative fetal preservation for (8.2±5.7) days. The postoperative bleeding rate was 33.3%(16/48), the premature rupture of membranes rate was 14.5%(7/48), and the infection rate was 10.4%(5/48). There were 22 cases of pregnancy > 37 weeks labor, 16 cases of 28-37 gestational weeks, and 10 cases of inevitable abortion <28 gestational weeks. The perinatal survival rate was 86.8% (33/38). Thirty-three newborns had a birth weight of (2415±207)g, with the Apgar scores at 1 minute ranged 7-10 points, and five had a low birth weight. ConclusionsCervical cerclage for patients with cervical insufficiency during mid-term pregnancy can effectively improve the pregnancy outcome of patients. The best curative effect can be achieved by individualized choice of surgical methods.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:江苏省青年医学人才项目(QNRC2016678);六个一拔尖人才科研项目(LGY2017082)**通讯作者,E-mail:xiaoyanying_cool@163.com(应小燕),boqun_xu@njmu.edu.com(许波群)
更新日期/Last Update: 2020-01-09