[1]管祎祺张坤王一婷姚颖杨俊芳于博韩劲松.孕期“极简式”腹腔镜宫颈环扎术6例并成功分娩[J].中国微创外科杂志,2025,01(7):435-437.
　Guan Yiqi,Zhang Kun,Wang Yiting,et al.Report of 6 Cases of Simplified Laparoscopic Cervical Cerclage During Pregnancy and Successful Delivery[J].Chinese Journal of Minimally Invasive Surgery,2025,01(7):435-437.
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孕期“极简式”腹腔镜宫颈环扎术6例并成功分娩()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2025年7期
页码:
435-437
栏目:
经验交流
出版日期:
2025-07-30

文章信息/Info

Title:
Report of 6 Cases of Simplified Laparoscopic Cervical Cerclage During Pregnancy and Successful Delivery
作者:
管祎祺张坤王一婷姚颖杨俊芳于博韩劲松
(北京大学第三医院妇产科，北京100191)
Author(s):
Guan Yiqi;  Zhang Kun;  Wang Yiting;  et al.
Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China
关键词:
宫颈机能不全; 早孕期手术; 腹腔镜宫颈环扎术
Keywords:
Cervical incompetence; Surgery during early pregnancy period; Laparoscopic cervical cerclage
文献标志码:
B
摘要:
目的观察孕期行“极简式”腹腔镜宫颈环扎术(simplified laparoscopic cervical cerclage,SLCC)的妊娠结局。方法2020年5月~2024年2月，对6例妊娠期宫颈机能不全且不适宜行经阴道宫颈环扎(transvaginal cervical cerclage，TVC)者行预防性SLCC。既往中孕期自然流产1~2次，其中3例有TVC失败史。手术时孕周平均10.3(7~13)周。采用改良简易缝合法，从后向前在峡部水平自子宫动脉内侧进针，无需打开阔韧带，线结位于宫颈前方。结果手术均顺利，手术时间平均27.7(23~33)min，术中出血1~10 ml，无严重并发症。均行剖宫产终止妊娠，终止孕周平均37.2(36+3~38)周，均为活产，新生儿出生体重平均2951.7（2540~3320） g，2例术中同时拆除环扎带。结论SLCC可在早中孕期用于治疗宫颈机能不全，妊娠结局良好。
Abstract:
ObjectiveTo observe and analyze the pregnancy outcomes of simplified laparoscopic cervical cerclage (SLCC) during pregnancy.MethodsBetween May 2020 and February 2024, a total of 6 pregnant patients with cervical incompetence (CIC) unsuitable for transvaginal cervical cerclage (TVC) underwent prophylactic SLCC. Among the 6 patients, the average number of spontaneous abortions during midpregnancy period was 1.3 (range, 1-2), and 3 had a history of failed TVC. The average gestational week at the time of surgery was 10.3 weeks (range, 7-13 weeks). The surgery used a modified simple suture technique, entering from the back to the front at the isthmic level, inside the uterine artery, without opening the broad ligament, with the knot located in front of the cervix.ResultsAll the patients underwent the surgery smoothly, with an average operation time of 27.7 min (range, 23-33 min) and a blood loss of 1-10 ml during the surgery. No serious complications occurred. All the patients underwent cesarean section to terminate pregnancy, with an average gestational week of 37.2 weeks (range, 36+3-38 weeks), all resulting in live births. The average birth weight of the newborns was 2951.7 g (range, 2540-3320 g). The cerclage was removed during the surgery in 2 cases.ConclusionSLCC can be used in the early to midpregnancy period to treat CIC, achieving good pregnancy outcomes.

参考文献/References:

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更新日期/Last Update: 2025-09-18