摘要
目的探讨宫颈环扎术在治疗单胎及双胎妊娠宫颈机能不全中的临床价值。方法回顾性分析2015年7月至2017年7月,因病史指征及超声指征行宫颈环扎术的单胎妊娠（21例）及双胎妊娠（7例）患者的临床资料,分别比较两种指征行宫颈环扎术和双胎保守治疗患者的宫颈情况、环扎孕周及分娩情况。结果单胎病史指征和超声指征环扎组宫颈长度、环扎孕周和延长孕周比较,差异有统计学意义（P〈0.05）。双胎妊娠上述指标比较,差异无统计学意义（P〉0.05）。宫颈环扎组分娩孕周[（33.24±3.86）周]与保守治疗组[（30.43±4.15）周]比较,差异无统计学意义（P〉0.05）。单胎环扎环扎孕周[（18.82±3.94）周]早于双胎妊娠[（25.10±0.85）周]（P0.05）。结论超声指征宫颈环扎可延长单胎及双胎妊娠宫颈机能不全患者妊娠周数,超声提示宫颈机能不全行宫颈环扎术有临床应用价值。
Objective To explore the clinical significance for cervical cerclage in treating single and twin pregnancy patients with cervical insufficiency. Methods Retrospective analysis of the cervix cerclage gestational age and pregnancy outcome between the single pregnancy patients with cervical cerclage according to the history and ultrasonic indications, twin pregnancy patients with cervical cerclage and conservative treatment in our hospital from July 2015 to July 2017. Results The conditions of cervix, cerclage gestational age and the extend gestational age had significantly differences（P 〈 0.05） in ultrasonic indications and history indications, the gestational age of two groups [（33.07±8.14） weeks;（30.00±6.67） weeks] has no difference（P〉 0.05）. The above indicators had no differences in twin pregnancy with cervical cerclage of conservative patients（P 〉 0.05）. The gestational week in cervical cerclage patients group was longer than that of the conservative [（33.24±3.86） weeks vs（30.43±4.15） weeks]（P 〈 0.05）. The cerclage gestational week in single pregnancy patients was earlier than that of twin patients [（18.82±3.94） weeks vs（25.10±0.85） weeks], but the application time and doses of conservative drugs had no significant difference（P〉 0.05）. Conclusion In single prgnancy patients with cervical cerclage due to ultrasonic indications can prolong the gestational week. The cervical cerclage in the treatment of the cervical insufficiency has the clinical value.
作者
张艳
孙强
ZHANG Yon, SUN Qiong.(Department of Obstetrics, Dalian Municipal women and children＇s Meclical Center, Dalion, Liaoning 116037, China)
出处
《中国妇产科临床杂志》
CSCD
北大核心
2018年第2期136-139,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
宫颈机能不全
宫颈环扎术
单胎及双胎妊娠
超声监测
cervical insufficiency
cervical cerclage
single and twin pregnancy
ultrasonic monitoring
