摘要
目的比较择期、应激性及紧急宫颈环扎术的临床效果。方法对25例14～26孕周行择期、16例行应激性及22例行紧急宫颈环扎术患者的手术时间、分娩时机、术后延长妊娠天数、新生儿出生情况及死产率进行对比。结果紧急宫颈环扎术组与择期宫颈环扎术组及应激性宫颈环扎术组相比,手术时间长、延长妊娠时间短、出生情况较差、死产率高,差别均有统计学意义(P<0.05)。而应激宫颈环扎术组仅死产率高于择期宫颈环扎术组,差别有统计学意义(P<0.05)。结论对有宫颈机能不全者,应在妊娠16～26周行择期官颈环扎术,术后密切监测,如有宫颈变化,争取在宫颈口开大前再次行环扎手术,这是降低晚期流产率的有效方法。
Objective. To compare the clinical effect of elective, emergent or urgent cerclage. Methods. The data of twenty-five pregnant patients with elective cerclage in 14-26 weeks, 16 pregnant patients with emergent cerclage and 22 pregnant patients with urgent cerclage were analyzed. The data observed were as follows, the duration of the operation, delivery time, prolongation of pregnancy after operation, neonatal outcome, and neonatal mortality. Results. The duration of operation was longer, pregnancy time was shorter, neonatal outcome was worse and neonatal mortinatality was higher in urgent cerclage than in elective cerclage and emergent cerclage. There were obvious statistical differences （P〈0.05）. The neonatal mortality was significantly higher in emergent cerclage than in elective cerclage only （P〈0.05）. Conclusions. Patients with cervical incompetence should undertake elective cerclage in pregnant 16-26 weeks. After the operations patients must be follow up in case of the cervix dilation again. If a cervical cerclage could be performed for the second time before cervix dilation, late abortion rate may be reduced
出处
《生殖医学杂志》
CAS
2009年第3期269-271,共3页
Journal of Reproductive Medicine
