经典Macdonald术与U形加固宫颈环扎术治疗宫颈机能不全的对照研究

发布时间：2018-01-28 18:14

本文关键词： 宫颈机能不全宫颈环扎术经典Macdonald术 U形加固环扎术　出处：《中国妇幼保健》2016年24期 　论文类型：期刊论文

【摘要】：目的对比分析经典Macdonald宫颈环扎术与U形加固宫颈环扎术治疗宫颈机能不全的疗效。方法回顾分析2010年1月-2015年7月该院收治的83例宫颈机能不全孕妇的临床资料,根据手术方式分为观察组(43例)与对照组(40例),观察组患者接受经典Macdonald宫颈环扎术治疗,对照组患者接受U形加固宫颈环扎术治疗。治疗结束后,所有孕妇均接受随访,直至妊娠结束。结果 1两组孕妇晚期流产率、早产率、足月分娩率相比差异无统计学意义(P0.05)。2两组产妇分娩方式相比差异无统计学意义(P0.05)。3两组新生儿窒息发生率、新生儿住院率相比差异无统计学意义(P0.05)。结论宫颈环扎术治疗宫颈机能不全的疗效确切,经典Macdonald宫颈环扎术与U形加固宫颈环扎术的疗效相当。
[Abstract]:Objective to compare and analyze the curative effect of classical Macdonald cervix ligation and U-shaped strengthened cervix ring ligation in treating cervical insufficiency. Methods from January 2010 to July 2015, the patients treated in our hospital were retrospectively analyzed. Clinical data of 83 pregnant women with cervical insufficiency. According to the operation mode, the patients were divided into observation group (n = 43) and control group (n = 40). The patients in the observation group were treated with classical Macdonald cervix ligation. After the treatment, all pregnant women were followed up until the end of pregnancy. Results 1 the late abortion rate and premature delivery rate of two groups of pregnant women. There was no significant difference in the rate of term delivery between the two groups. There was no significant difference between the two groups in the mode of delivery. There was no significant difference in the incidence of neonatal asphyxia between the two groups. There was no significant difference in neonatal hospitalization rate (P 0.05). Conclusion Cervical ring ligation is effective in the treatment of cervical dysfunction. The effect of classical Macdonald cervix ligation is equivalent to U-shaped strengthened cervix ligation.
【作者单位】：湖北省妇幼保健院;
【分类号】：R713.4
【正文快照】： 宫颈机能不全是指各种先天性或后天性因素导致子宫颈内口出现形态、结构、功能异常,患者在非妊娠状态下继发子宫颈病理性扩增现象[1-2]。宫颈机能不全典型的临床表现就是患者出现反复发作的、急性、无痛、无宫缩和流血的妊娠终止现象,因此该病常给患者身心健康带来巨大威胁。

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