孕期与非孕期腹腔镜下宫颈环扎术对治疗宫颈机能不全妊娠的影响分析  

Analyses of Cervical Cerclage Treatment on Cervical Insufficiency under Laparoscopic Impacting Pregnancy Outcomes During pregnancy and Non-pregnancy Stages

作　　者：折利娜 樊杨[1] 张娜[1] 李娟[1] SHE Lin-na;FAN Yang;ZHANG Na;LI Juan(Obstetrics and Gynecology Department,Ningxia Hui Autonomous Region People's Hospital,Yinchuan 750002,China)

机构地区：[1]宁夏回族自治区人民医院妇产科,宁夏银川750002

出　　处：《西北民族大学学报（自然科学版）》2023年第2期54-58,共5页Journal of Northwest Minzu University(Natural Science)

摘　　要：目的:分析孕期与非孕期实施腹腔镜下宫颈环扎术对妊娠结局的影响.方法:回顾性分析行腹腔镜下宫颈环扎术的孕妇43例,分为孕期组及非孕期组,比较两组手术并发症及妊娠结局.结果:与孕期组相比,非孕期组手术时间长,P<0.05,差异有统计学意义;孕期组住院时间长,P<0.05,差异有统计学意义,孕期组早产发生率高,P<0.05,差异有统计学意义.在出血量、宫颈管长度、流产率、围产儿结局方面两组比较,P>0.05,差异无统计学意义,术中及术后并发症方面两组差异无统计学意义.结论:孕前与孕期(≤14周)腹腔镜下宫颈环扎术均是一种安全、疗效肯定的治疗方法,在降低流产及改善围产儿结局方面值得临床应用.Objective:To analyze the effect of laparoscopic transabdominal cervical cerclage during post-and pre-conceptional on pregnancy outcome.Methods:43 pregnant women undergoing laparoscopic transabdominal cervical cerclage were divided into both pregnancy group and non-pregnancy group.The surgical complications and pregnancy outcomes of the two groups were compared.Results:Compared with pregnancy group,the women of non-pregnancy group experienced a longer operation time(P<0.05).Women in pregnancy group hospitalized for a longer duration and showed a high risk in premature birth(P<0.05).There were no significant differences in bleeding,cervical tube length,abortion rate and perinatal outcome between two groups.Besides,no significant differences were found in intra-operative and postoperative complications between the two groups.Conclusion:Under laparoscopy the transabdominal cervical cerclage in both pre-conception and post-conception stages(14 weeks)was a safe and effective treatment method in reducing abortion and improving perinatal outcomes.

关 键 词：宫颈机能不全 孕期与非孕期 腹腔镜宫颈环扎术 妊娠结局 

分 类 号：R714.7[医药卫生—妇产科学]