妊娠期宫颈机能不全宫颈缝扎手术时机的探讨  

The best time of cervical cerclage for pregnant women with cervical incompetence

作　　者：罗润环[1] 卢海英[1] 柳晓春[1] 

机构地区：[1]广东省佛山市妇幼保健院,528000

出　　处：《中国妇幼保健》2006年第14期1929-1930,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨妊娠期因宫颈机能不全行宫颈缝扎术的时机。方法：对我院2000年1月-2004年12月31例因妊娠期宫颈机能不全行宫颈缝扎术的病例的临床资料进行回顾性分析。结果：宫口开大≤2cm者，手术成功率为81．82％；宫口开大〉2cm者．手术成功率为44．44％，两者间比较，有显著性差异（P〈0．05）。孕周为12—18周者，手术成功率为83．33％：孕周〉18周者，手术成功率为53．85％，两者差异无显著性（P〉0．05）。结论：妊娠期宫颈机能不全缝扎时机与宫口开张有关，与孕周无关。Objective： To investigate the best time of cervical cerclage for pregnant women with cervical incompetent. Methods： 31 pregnants with cervical incompetent who underwent cervical cerclage in foshan Maternal and Children＇s Hospial were analyzed retrospec- tively. Results： The success rate in women with cervical dilation ≤ 2 cm was 81.82%, while 44. 44% in those 〉2 cm, there was significant difference between the two groups （P 〈 0. 05 ） . The success rate in women with gestational age ranging from 12 weeks to 18 weeks was 83.33%, while 53.85% in those 〉 18 weeks, there was no significant difference between the two groups （P 〉0. 05% ）. Conclusion： The best time of cervical cerclage for pregnant women with cerical incompetence is related with cervical dilation and has little correlation with gestational age.

关 键 词：宫颈机能不全 宫颈缝扎术 手术时机 

分 类 号：R714.411[医药卫生—妇产科学]