妊娠期宫颈机能不全行宫颈环扎术的手术时机探讨  

Operation timing of cervical incompetence cervical cerclage pregnancy

作　　者：陈汝芳[1] 孙雯雯[1] 卢文琼[1] 简艳红[1] 

机构地区：[1]广东省佛山市第一人民医院妇产科,528000

出　　处：《重庆医学》2013年第11期1233-1234,1236,共3页Chongqing medicine

摘　　要：目的探讨妊娠期因宫颈机能不全而行宫颈环扎术的手术时机及其对妊娠结局的影响。方法对该院2008年1月至2011年12月24例因妊娠期宫颈机能不全而行宫颈环扎术的病例的临床资料进行回顾性分析。结果孕周小于18周者,手术成功率为92.31%(12/13);孕周大于或等于18周者,手术成功率为54.55%(6/11),两者比较差异有统计学意义(P<0.05)。选择性宫颈环扎术手术成功率为100%(9/9),治疗性宫颈环扎术手术成功率为75.00%(6/8),紧急宫颈环扎术手术成功率为42.85%(3/7),三者比较差异有统计学意义(P<0.05)。结论宫颈机能不全孕妇应在妊娠18周前行选择性宫颈环扎术,有晚期流产史或早产史的高危孕妇,应在孕12周后间隔2～3周定期监测宫颈长度及宽度,如宫颈进行性缩短或内口呈漏斗状改变时,应行治疗性宫颈环扎术。Objective To study the influence of pregnancy by operation time of cervical incompetence and cervical cerclage and the outcome of pregnancy.Methods In our hospital from 2008 January to 2011 December,clinical data of 24 cases of cases of pregnant women with cervical incompetence and cervical cerclage were retrospectively analyzed.Results Gestational age<18 weeks,the success rate of operation was 92.31%(12/13);gestational age over 18 weeks,the success rate of operation was 54.55%(6/11),there were significant difference between them(P<0.05).The success rate of operation of selective cervical cerclage was 100%(9/9),the success rate of treatment of cervical cerclage operation was 75%(6/8),the success rate of emergency cervical cerclage operation was 42.85%(3/7),there was a difference between the three(P<0.05).Conclusion Women with cervical incompetence in pregnancy before 18 weeks,selective cervical cerclage,high-risk pregnant women with late abortion history or history of preterm birth,should be in after 12 weeks of gestation between 2-3 weeks of regular monitoring of cervical length and width,such as cervical shortening or inside the mouth forms a funnel shape change,should be treated with therapy of cervical cerclage operation.

关 键 词：宫颈机能不全 宫颈环扎术 手术时机 

分 类 号：R713[医药卫生—妇产科学]