早孕期腹腔镜子宫峡部环扎术治疗子宫颈机能不全临床分析  

Early Pregnancy Laparoscopic Uterine Isthmus Cerclage for Cervical Incompetence Clinical Analysis

作　　者：刘明敏[1] 李洪国[1] 

机构地区：[1]江苏省徐州市妇幼保健院妇科,江苏徐州221000

出　　处：《中国继续医学教育》2016年第34期98-100,共3页China Continuing Medical Education

摘　　要：目的探讨妊娠期腹腔镜子宫峡部环扎术治疗子宫颈机能不全的价值。方法回顾性分期子宫机能不全患者40例,A组20例,行腹腔镜子宫峡部环扎术,B组20例,行经阴道宫颈环扎术,并定期随访。结果 A组18例成功分娩,2例中期流产,成功率90%,无阴道炎发生;B组14例成功分娩,6例孕中期流产,成功率70%,阴道炎4例,两组成功率对比,差异有统计学意义,P<0.05,阴道炎发生率对比,差异有统计学意义,P<0.05。结论妊娠期腹腔镜子宫峡部环扎术可以有效应对子宫颈机能不全导致的习惯性流产,并能有效避免阴道炎的发生。Objective To explore laparoscopic uterine isthmus cerclage for cervical incompetence diagnosis. Methods Review the staging of uterine insufficiency in 40 cases,A group of 20 cases underwent laparoscopic uterine isthmic cerclage group B 20 cases underwent transvaginal cervical cerclage,and regular follow-up. Results A group of 18 cases of successful delivery,2 cases of second trimester abortion,the success rate was 90%,no occurrence of vaginitis,B group of 14 cases of successful delivery,6 cases of second trimester abortion,the success rate was 70%,4 cases of vaginitis,the success rate of two groups compared,the difference was statistically significant,P〈0.05,the incidence of vaginitis,the difference was statistically statistical significance,P〈0.05. Conclusion Laparoscopic uterine isthmus pregnancy cerclage can effectively deal with cervical incompetence caused by habitual abortion,and can effectively avoid the occurrence of vaginitis.

关 键 词：宫颈机能不全 宫颈环扎术 妊娠期 

分 类 号：R713[医药卫生—妇产科学]