宫颈环扎术治疗宫颈机能不全的临床效果评价

发布时间：2018-03-18 15:26

本文选题：宫颈环扎术　切入点：宫颈机能不全　出处：《南京医科大学学报(自然科学版)》2015年10期 　论文类型：期刊论文

【摘要】：目的 :探讨不同孕周施行宫颈环扎术治疗宫颈机能不全的疗效,并对择期宫颈环扎术、应激宫颈环扎术及紧急宫颈环扎术进行疗效分析。方法:对82例因宫颈机能不全而行宫颈环扎术患者的临床资料进行回顾性分析,比较4组不同手术孕周及3种手术时机患者的分娩孕周、术后延长妊娠时间及妊娠结局。结果:4组不同孕周施行宫颈环扎患者,其分娩孕周比较差异均无统计学意义(P0.05);胎儿存活率比较,孕14+1~18周组最高,孕14周组最低,但4组间比较差异均无统计学意义(P0.05);孕14+1~18周组胎儿足月率为57.14%,孕18+1~22周组为58.33%,孕22+1~28周组为26.67%,前2组的足月率明显高于最后1组,但其比较差异无统计学意义(P0.05)。不同手术时机手术效果的比较,择期组、应激组及紧急组,其手术孕周、分娩孕周、术后延长妊娠周数、存活数、足月数、流产数之间均具有显著差异(P0.05),早产数之间差异无统计学意义(P0.05),3组间两两比较后以择期宫颈环扎组最好,紧急组胎儿存活率为58.33%。结论:宫颈环扎术的最佳时间为妊娠14~18周,可适当向后延长为妊娠14~22周。不同手术时机中,择期宫颈环扎术疗效最好,紧急宫颈环扎术可作为宫颈机能不全治疗不及时的有效补救方法。
[Abstract]:Objective: To investigate the effect of different gestational weeks efficacy of cervical cerclage for cervical incompetence, and elective cervical cerclage, stress to analyze the curative effect of cervical cerclage and emergency cervical cerclage. Methods: 82 patients with clinical data of cervical incompetence and cervical cerclage were analyzed retrospectively, compared with 4 groups of different gestational weeks and 3 surgical timing of surgery in patients with gestational weeks, postoperative prolonged pregnancy and pregnancy outcome. Results: 4 groups of patients who underwent cervical cerclage in different gestational age, the gestational age showed no significant difference (P0.05); compare the survival rate of fetus, pregnant 14+1~18 weeks of pregnancy group was the highest. 14 weeks was the lowest, but there was no statistically significant difference between the 4 groups (P0.05); group 14+1~18 weeks of gestation fetal term rate was 57.14%, 18+1~22 weeks pregnant group was 58.33%, 22+1~28 weeks pregnant group was 26.67%, 2 groups before the term was significantly higher than that of the last 1 groups, but the comparison There was no statistically significant difference (P0.05). Compare the effects of different timing of surgery, surgical elective group, stress group and emergency surgery group, the gestational age, gestational weeks, postoperative prolonged gestational weeks, survival term, a significant difference between the number of abortion (P0.05), no statistically significant difference in the number of preterm between 3 (P0.05), to compare between 22 groups after elective cervical cerclage group best, emergency group of fetal survival rate was 58.33%. conclusion: the best time of cervical cerclage for 14~18 weeks of pregnancy, may be appropriate to extend back for 14~22 weeks of pregnancy. The different timing of surgery, the best curative effect of elective cervical cerclage, emergency cervical cerclage can as an effective remedy for cervical insufficiency treatment in a timely manner.

【作者单位】：南京医科大学第一附属医院妇产科;
【基金】：国家临床重点专科项目[国卫办医函2013(544)] 江苏省优生优育公共服务平台网络建设项目(BM2013058)
【分类号】：R713.4

【共引文献】