非妊娠期环扎带宫颈环扎术2例报告及文献复习  

Laparoscopic Cervical Cerclage Using Cerclage Tape——Two Cases Report and Literature Review

作　　者：夏恩兰[1] 刘玉环[1] 黄晓武[1] 郑杰[1] 于丹[1] 马宁[1] 李云飞[1] 曲静[1] 

机构地区：[1]首都医科大学附属复兴医院宫腔镜中心,北京100038

出　　处：《国际妇产科学杂志》2011年第3期250-252,F0003,共4页Journal of International Obstetrics and Gynecology

摘　　要：目的:探讨非妊娠期环扎带宫颈环扎术的有效性和可行性。方法:例1患者因发现宫颈松弛,于妊娠21周行经阴道宫颈环扎术,妊娠23周因难免流产行第2次经阴道宫颈环扎术失败,于非妊娠期行环扎带宫颈环扎术。例2患者因宫颈功能不全中期妊娠流产5次,于非妊娠期行腹腔镜环扎带宫颈环扎术。手术经过均顺利。结果:例1于术后1年零3个月,妊娠35+6周,中央性前置胎盘,剖宫产一女婴,体质量2 900 g。例2术后经过平顺,月经正常,术后1年未妊娠,子宫输卵管造影提示双侧输卵管阻塞,后通液2次,均不通畅。结论:非妊娠期环扎带开腹或腹腔镜宫颈环扎术可作为有妊娠中期流产病史、经阴道环扎失败的宫颈功能不全患者的有效替代治疗方法。Objective：To evaluate the effectiveness and feasibility on treatment of cervical incontinence by cervical cerclage surgery using cerclage tape.Methods：Case 1 owing to cervical incontinence was performed vaginal cerclage during 21w gestation,during 23w gestation she suffered from inevitable abortion and was performed vaginal cerclage again but failed.Finally she was performed abdominal cerclage at non pregnant condition.Case 2 had 5 times mid trimester abortion because of cervical incontinence.She was performed laparoscopic cerclage at non pregnant condition.Both surgeries were going smoothly.Results：Case 1 got pregnant 1 year and 3 months after surgery.At 35＋6 w a live girl was born by cesarean section with indication of central placenta previa.Baby＇s birth weight was 2 900 g.Case 2 was not pregnant for one year after surgery.HSG shown bilateral tube occluded.Liquid cannulation was performed twice afterwards but tube was still blocked.Conclusions：As for an alternative method,abdominal/laparoscopic cerclage at non pregnant condition is effective to treat cervical incontinence women who had history of mid-trimester abortion even failed of vaginal cerclage.

关 键 词：宫颈功能不全 流产 自然 环扎术 宫颈 环扎带 

分 类 号：R713[医药卫生—妇产科学]