Mersilene带用于腹腔镜宫颈环扎术的临床疗效及生活质量  

Clinical efficacy of Mersilene tape used in laparoscopic cervical cerclage and its influence on quality of life

作　　者：雷慧 曹云桂[1] 邓娟[1] 唐江萍[1] LEI-Hui(Shanghai Jiading Maternal and Child Health Hospital,Shanghai,201801,China)

机构地区：[1]上海市嘉定区妇幼保健院,上海201801

出　　处：《齐齐哈尔医学院学报》2021年第1期16-19,共4页Journal of Qiqihar Medical University

基　　金：上海市嘉定区区科委资助项目(JDKW-2017-W26)。

摘　　要：目的比较Mersilene带非孕期腹腔镜宫颈环扎术与孕期经阴道宫颈环扎术的临床效果。方法选择2017年1月—2019年8月本院收治的宫颈机能不全患者85例作为研究对象,其中行非孕期腹腔镜Mersilene带宫颈环扎术40例、孕期经阴道Mersilene带宫颈环扎术45例。比较两组的各项手术指标、住院时间、妊娠结局、新生儿结局、焦虑、抑郁及生活质量的差异。结果腹腔镜组术中出血[(11.9±4.8)ml]、住院时间[(2.9±0.9)d]少于经阴道组[(22.8±7.6)ml、(5.1±1.0)d](t=7.825、10.937,P=0.000、0.000);腹腔镜组足月分娩率(80%)高于经阴道组(57.8%)(χ^(2)=4.825,P=0.028);腹腔镜组新生儿体重[(3205.3±539.6)g]重于阴道组[(2590.0±924.8)g](t=3.571,P=0.001)。两组各时间点SAS、SDS和生活质量评分差异有统计学意义(P<0.05);时间和分组有交互作用,即不同时间SAS、SDS和生活质量评分随分组的不同而不同(P<0.05);两组之间SAS、SDS和生活质量评分差异有统计学意义(P<0.05),腹腔镜组SAS、SDS和生活质量的改善情况优于阴道组。结论Mersilene带腹腔镜宫颈环扎在疗效和改善患者情绪及生活质量方面优于经阴道宫颈环扎,值得临床推广应用。Objective To compare the clinical effects of laparoscopic cervical cerclage by using mersilene tape during non-pregnancy period and transvaginal cervical cerclage during pregnancy.Methods A retrospective analysis on the clinical data of 85 patients those admitted our hospital due to cervical insufficiency from January 2017 to June 2019 was conducted.Among the 85 cases of patients there were 40 cases underwent laparoscopic cervical cerclage by using mersilene tape during non-pregnancy period,and the other 45 cases underwent transvaginal cervical cerclage during pregnancy.The surgical effects,hospital stay,pregnancy outcomes,neonatal outcomes,anxiety,depression and the quality of life were compared between the two groups.Results The intraoperative bleeding(11.9±4.8)mland the length of hospital stay(2.9±0.9)d in the laparoscopic group were less than the intraoperative bleeding(22.8±7.6)ml and the length of hospital stay(5.1±1.0)d in the transvaginal group(t=7.825,10.937;P=0.000,0.000).The full-term delivery rate of the laparoscopic group(80%)was higher than that of the transvaginal group(57.8%)(χ^(2)=4.825,P=0.028).The average weight of newborns in the laparoscopic group(3205.3±539.6)g was heavier than that in the transvaginal group(2590.0±924.8)g(t=3.571,P=0.001).The differences in SAS,SDS and quality of life scores at each time point of the two groups were statistically significant(P<0.05);The time and group had an interactive effect.The SAS,SDS and quality of life scores were different from group to group at different times(P<0.05).The differences in SAS,SDS and quality of life scores between the two groups were statistically significant(P<0.05).The improvement of SAS,SDS and quality of life in the laparoscopic group were better than that in the vaginal group.Conclusions Laparoscopic cervical cerclage by using mersilene tape is superior to transvaginal cervical cerclage in terms of efficacy and improvement of patients'mood and quality of life,and it is worthy of clinical application.

关 键 词：Mersilene带 宫颈机能不全 腹腔镜宫颈环扎术 生活质量 

分 类 号：R714[医药卫生—妇产科学]