经阴道宫颈环扎术治疗孕期宫颈机能不全的效果及妊娠结局研究  

Study on Effect and Pregnancy Outcome of Cervical Vaginal Cerclage in the Treatment of Patients with Cervical Insufficiency during Pregnancy

作　　者：陈永连[1] 郑玉华[1] 肇丽杰[1] 强荣[1] CHEN Yonglian;ZHENG Yuhua;ZHAO Lijie;QIANG Rong(Maternal and Child Health Care Hospital of Foshan,Guangdong Province,Foshan 528000,China;不详)

机构地区：[1]广东省佛山市妇幼保健院,广东佛山528000

出　　处：《中国医学创新》2022年第6期163-166,共4页Medical Innovation of China

摘　　要：目的:探讨阴道宫颈环扎术治疗孕期宫颈机能不全(cervical incompetence,CIC)患者的效果及妊娠结局。方法:回顾性分析2012年1月-2019年1月佛山市妇幼保健院收治的CIC孕妇227例的资料,按不同时机分为择期宫颈环扎术85例(A组)、应急性宫颈环扎术92例(B组)和紧急性宫颈环扎术50例(C组)。按不同孕周分为早期组155例和晚期组72例。比较不同组别宫颈环扎术术后疗效、并发症及妊娠结局情况。结果:不同时机宫颈环扎术患者术后疗效比较,差异有统计学意义(P<0.05);早期组疗效高于晚期组(P<0.05);不同时机和不同孕周组术后并发症发生率比较,差异均有统计学意义(P<0.05);不同时机宫颈环扎术患者妊娠结局比较,差异均有统计学意义(P<0.05);与晚期组比较,早期组早产率、流产率均明显降低,足月产率均明显升高(P<0.05)。结论:CIC患者在孕早期行择期宫颈环扎术疗效明显,能有效降低早产率和流产率,提高足月产率。Objective:To investigate the efficacy and pregnancy outcome of vaginal cervical cerclage in the treatment of patients with cervical insufficiency (CIC) during pregnancy.Method:The data of 227 pregnant women with CIC treated in Maternal and Child Health Care Hospital of Foshan from January 2012 to January 2019 were analyzed retrospectively.According to different timings,they were divided into 85 cases of elective cervical cerclage (group A),92 cases of acute cervical cerclage (group B) and 50 cases of emergency cervical cerclage (group C),they were divided into 155 cases in the early group and 72 cases in the late group according to different gestational weeks.The postoperative effects,complications and pregnancy outcomes of different groups of cervical cerclage were compared.Result:Comparison of postoperative efficacy of cervical cerclage at different times,the difference was statistically significant (P<0.05);the curative effect of the early group was higher than that of the late group (P<0.05);the overall postoperative complications of different timing and different gestational age groups were significantly differences (P<0.05);Comparison of pregnancy outcomes in patients undergoing cervical cerclage at different times,the differences were statistically significant (P<0.05);compared with the late group,the premature delivery rate and abortion rate in the early group were obvious decreased,the full-term birth rate was significantly increased (P<0.05).Conclusion:Elective cervical cerclage in patients with CIC in the first trimester has a significant effect,which can effectively reduce the rate of premature delivery and miscarriage,and increase the rate of full-term delivery.

关 键 词：经阴道宫颈环扎术 宫颈机能不全 妊娠结局 

分 类 号：R713.4[医药卫生—妇产科学]