摘要
目的探讨经腹腔镜与经阴道宫颈环扎术对宫颈机能不全患者妊娠结局的影响。方法回顾性分析2013~2016年成都市妇女儿童中心医院宫颈机能不全患者43例的临床资料,根据手术方法不同分为两组,观察组(28例)采用经腹腔镜下宫颈环扎术,对照组(15例)采用经阴道宫颈环扎术。比较两组患者手术时间、术中出血量、妊娠结局、新生儿存活率、终止妊娠孕周等情况。结果两组患者手术时间、术中出血量比较,差异无统计学意义(P>0.05);观察组患者术后流产率(10.7%)、早产率(17.9%)低于对照组(33.3%、40.0%),差异有统计学意义(P<0.05);新生儿存活率(75.0%)及分娩孕周≥37周率(71.4%)、分娩平均孕周(36.16±4.45)周高于对照组[26.7%、26.7%、(30.27±4.83)周],差异有统计学意义(P<0.05)。结论腹腔镜下宫颈环扎术能有效改善宫颈机能不全患者预后,对延长孕周,改善新生儿结局有显著效果。
Objective To discuss the effect of laparoscopic and transvaginal cervical cerclage on pregnancy outcome in patients with cervical incompetence.Methods The data of 43 patients with cervical incompetence in Chengdu Women＇s Children＇s Central Hospital from 2013 to 2016 were retrospective analyzed and divided into observation group（ 28 cases） and control group（ 15 cases）according to different surgical methods.Patients in the observation group received cervical cerclage with therapeutic laparoscopy,and patients in the control group received transvaginal cervical cerclage.The operation time,the blood transfusion,the pregnancy outcomes,neonatal survival rates and the gestational weeks of termination of pregnancy.etc in both groups were compared.Results There was no significant difference in the operation time and intraoperative blood loss between the two groups（ P 0.05）; patients in the observation group were significantly lower in abortion rates（ 0.7 %） and premature delivery rate（ 17.9 %） after surgery in comparison of the patients in the control group（ 33.3 %,40.0 %）,the differences were statistically significant（ P 0.05）; the survival rate of newborns in the observation group（ 75.0 %） and the gestational weeks≥37 weeks（ 71.4 %） and the average gestational weeks（ 36.16 ± 4.45）were significantly higher than those in the control group（ 26.7 %,26.7 %,30.27 ± 4.83）.The differences were statistically significant（ P 0.05）.Conclusion Cervical cerclage with therapeutic laparoscopy could effectively improve the prognosis of patients with cervical incompetence,and also helps to prolong gestational weeks and improve neonatal outcomes with satisfactory effects.
作者
辜定纤
GU Ding-qian(Department of Gynecology and Obstetrics,Chengdu Women＇s ＆ Children＇s central Hospital,Chengdu Sichuan 610000,P.R.China)
出处
《中国计划生育和妇产科》
2018年第8期66-68,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
宫颈环扎
腹腔镜
宫颈机能不全
妊娠结局
新生儿存活率
cervial cerclage
laparoscope
cervial incompetence
pregnancy outcome
neonatal survival rate
