宫颈缝扎术治疗宫颈机能不全临床分析  

Cervical suture in the treatment of clinical analysis of cervical incompetence

作　　者：康艳儒 

机构地区：[1]吉林省延边朝鲜族自治州妇幼保健院妇科,吉林延吉133000

出　　处：《中国医药科学》2011年第21期52-53,共2页China Medicine And Pharmacy

摘　　要：目的探讨宫颈缝扎术治疗宫颈机能不全的临床疗效。方法分析2000年1月～2011年6月19例因宫颈机能不全行宫颈缝扎术患者的临床资料。结果 19例宫颈机能不全患者中17例获得活婴,2例失败,手术总成功率为89.5%。其中孕20周前行宫颈缝扎术者15例,手术成功14例;孕20周后手术者4例,成功3例;急诊手术2例,均成功。手术方式分别为U型缝合法、Shirodkar法、McDonald法。结论宫颈缝扎术治疗宫颈机能不全疗效肯定,手术时机宜选择在孕20周前。经阴道行宫颈缝扎术方法简单,术式较多,采用术式应根据病情变化进行合理选择。经临床实践,急诊行宫颈缝扎术是可行的,它可以改善宫颈机能不全患者的妊娠结局。Objective To investigate the treatment of cervical suture the clinical efficacy of cervical incompetence.Methods From January 2000 to June 2011,19 cases of cervical incompetence,cervical suture in patients with clinical data.Results 19 cases of cervical insufficiency in 17 patients were patients with live births,two cases of failure,surgical assembly power 89.5%.One pregnancy before 20 weeks,cervical suture in 15 patients,surgical success in 14 cases;pregnant 20 weeks after surgery in 4 cases,successful in 3 cases;emergency surgery,2 cases were successful.U-surgical methods were used to suture,Shirodkar method,McDonald method.Conclusion Cervical suturing technique is effective and treatment of cervical incompetence,should choose the timing of surgery before 20 weeks＇ gestation.Transvaginal cervical suture method is simple,more surgical procedures,the use of surgical procedures should be based on changes in the condition a reasonable choice.The clinical practice,emergency cervical suture is feasible,it can improve cervical incompetence in patients with pregnancy outcomes.

关 键 词：宫颈缝扎术 宫颈机能不全 复发性流产 

分 类 号：R713[医药卫生—妇产科学]