盐酸利托君联合紧急宫颈环扎术治疗宫颈机能不全的临床效果  

Clinical effect of ritodrine hydrochloride combined with emergency cervical cerclage for cervical incompetence

作　　者：梁佩丽[1] 霍雷[1] 张秀丽[1] 陈银凤[1] 

机构地区：[1]广东省深圳市龙岗区妇幼保健院妇产科,518172

出　　处：《临床医学》2017年第3期35-37,共3页Clinical Medicine

基　　金：深圳市龙岗区经济与科技发展专项基金-医疗卫生科技计划项目(20160516)~~

摘　　要：目的探讨宫颈机能不全患者接受盐酸利托君联合紧急宫颈环扎术治疗的临床效果。方法选取2013年4月至2015年9月的宫颈机能不全患者致宫颈扩张患者80例为研究对象,经随机数字表法分为观察组与对照组,每组40例。对照组行保守治疗,观察组行盐酸利托君联合紧急宫颈环扎术治疗,观察两组患者妊娠结局、分娩孕周及延长妊娠时间。结果观察组与对照组患者足月产率分别为57.50%、35.00%,活产率分别为87.50%、67.50%,观察组显著高于对照组,差异有统计学意义(P<0.05);观察组分娩孕周与延长妊娠时间同对照组比较,均显著较长,差异有统计学意义(P<0.05)。结论盐酸利托君联合紧急宫颈环扎术治疗宫颈机能不全,可有效延长孕周,减少早产及流产发生概率,对改善妊娠结局有重要意义。Objective To investigate the clinical effect of ritodrine hydrochloride combined with emergency cervical cerclage for patients with cervical incompetence. Methods Eighty cervical dilatation patients with cervical incompetence were selected from April 2013 to September 2015, and were randomly divided into observation group and control group with 40 cases in each group. The control group received conservative treatment, and the observation group was treated with rito- drine hydrochloride combined with emergency cervical cerclage. The pregnancy outcome, gestational weeks and prolonged pregnancy of the two groups were observed. Results The full-term yield were 57.50% and 35.00% , the live birth rate were 87.50% and 67. 50% of observation group and control group respectively, and those in observation group were signifi- cantly higher than those in control group （ P 〈 0. 05 ）. The gestational weeks and prolong pregnancy of observation group were significantly longer than those of control group （ P 〈 0. 05 ）. Conclusion Ritodrine hydrochloride combined with e- mergency cervical cerclage for cervical incompetence can effectively prolong the gestational weeks, reduce the probability occurrence of premature birth and abortion, and have important significance to improve the outcome of pregnancy.

关 键 词：宫颈机能不全 宫颈扩张 宫颈环扎术 盐酸利托君 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]