宫颈环扎术加卧床休息治疗宫颈机能不全的临床研究  

Effects of cervical cerclage and bed rest on pregnants with cervical incompetence

作　　者：刘芙蓉[1] 宋秀红[1] 刘素华[1] 马建华[1] 

机构地区：[1]青岛大学医学院附属医院妇产科,山东青岛266003

出　　处：《现代医药卫生》2009年第7期976-978,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨宫颈环扎术加卧床休息治疗宫颈机能不全的效果。方法:回顾性分析34例宫颈机能不全病人,26例行宫颈环扎术+卧床休息,8例行保守性治疗(卧床休息),分析两组的未足月胎膜早破率、新生儿存活率。结果:手术治疗组未足月胎膜早破18例(69.2%),新生儿存活19例(73.8%);保守治疗组未足月胎膜早破5例(62.5%),新生儿存活4例(50.0%),明显低于手术治疗组(P<0.05)。结论:宫颈环扎术+卧床休息治疗宫颈机能不全可延长妊娠时间,提高新生儿存活率。Objective：To evaluate the effect of therapeutic U cerclage and bed rest on pregnants with cervical incompetence. Methods：34 cases of pregnants with cervical incompetence were analyzed retrospectively.26 of them accepted the therapeutic U cerclage and bed rest, while the rest 8 cases accepted bed rest alone.The ratio of preterm premature rupture of membrane （PPROM） and neonatal survival rate were recorded. Results：There was no statistically significant difference in the ratio of PPROM between two groups（69.2% vs 62.5%）,but significant difference in neonatal survival rate （73.8% vs 50.0%,P〈0.05）. Conclusion：Therapeutic U cerclage and bed rest shows benefit for women with cervical incompetence,and bed rest alone needs further investigation.

关 键 词：宫颈机能不全 流产 治疗 宫颈环扎术 保守性治疗 未足月胎膜早破 

分 类 号：R71[医药卫生—妇产科学]