宫颈机能不全宫颈环扎术手术指征探讨

发布时间：2018-12-13 00:44

【摘要】：目的探讨宫颈机能不全行宫颈环扎术的手术指征。方法选择2009年7月至2015年3月就诊于苏州大学附属第二医院的宫颈机能不全患者273例,分为宫颈环扎组(n=178),期待疗法组(n=95);273例再按既往晚期流产次数分层,分为1次晚期流产环扎组(A1组,n=76),1次晚期流产期待组(B1组,n=52);2次晚期流产环扎组(A2组,n=88),2次晚期流产期待组(B2组,n=40),分析对比组间的临床资料及妊娠结局。另有14例3次及以上晚期流产史宫颈环扎术者未行分层对比分析。结果 178例宫颈环扎患者活产率为88.76%,流产率11.2%。95例期待疗法患者活产率低于宫颈环扎者。A1组患者的分娩孕周为(35.4±1.9)周,与B1组(30.8±2.4)周相比,差异有统计学意义(P0.05)。A1组新生儿出生体重与B1组相比,差异有统计学意义(P0.05)。A2组患者分娩孕周、早产率、新生儿出生体重与B2组比较,差异有统计学意义(P0.05)。结论对有两次晚期自然流产史的患者,行宫颈环扎术可以明显改善妊娠结局。
[Abstract]:Objective to investigate the surgical indications of cervical insufficiency by cervical ring ligation. Methods 273 patients with cervical insufficiency were selected from July 2009 to March 2015 in the second affiliated Hospital of Suzhou University. They were divided into cervix ring ligation group (n = 178) and expectant therapy group (n = 95). 273 cases were divided into 1 late abortion ring group (A1 group, n = 76) and 1 late abortion expectation group (B1 group, n = 52). The clinical data and pregnancy outcome were analyzed in group A2 (group A2, n = 88) and group B _ 2 (group B _ 2, n = 40). There were 14 cases with 3 or more late abortion history and cervical ring ligation without stratification. Results the live delivery rate of 178 patients with cervical ring ligation was 88.76 and the abortion rate was 11.22.95 patients with expectant therapy were lower than those with cervix ring ligation. The gestational weeks in group A1 were (35.4 卤1.9) weeks. Compared with group B1 (30.8 卤2.4) weeks, the difference was statistically significant (P0.05). The birth weight of newborns in group A1 was significantly higher than that in group B1 (P0.05). Neonatal birth weight compared with B2 group, the difference was statistically significant (P0.05). Conclusion for patients with two history of late spontaneous abortion, cervical ligation can significantly improve pregnancy outcome.
【作者单位】：苏州大学附属第二医院妇产科;苏州大学附属第二医院超声科;
【分类号】：R713.4

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