功能性宫颈长度对经阴道宫颈环扎术妊娠结局的影响  

Effect of functional cervical length on pregnancy outcomes after transvaginal cervical cerclage

作　　者：徐丽丽 石芳鑫[2] XU Lili;SHI Fangxin(Department of Gynecology,Jinhua Central Hospital,Jinhua 321000,CHINA)

机构地区：[1]金华市中心医院妇科,浙江321000 [2]大连医科大学附属第一医院产科

出　　处：《江苏医药》2024年第1期79-82,共4页Jiangsu Medical Journal

摘　　要：目的 分析功能性宫颈长度(FCL)对经阴道宫颈环扎术妊娠结局的影响。方法 回顾性分析诊断为宫颈机能不全并行经阴道宫颈环扎术33例孕妇的临床资料。按宫颈环扎术前经阴道超声测量的FCL,将患者分为A组(FCL≥25 mm, 9例)、B组(10 mm≤FCL <25 mm, 16例)和C组(FCL<10 mm, 8例),比较三组孕妇妊娠结局。结果 B、C组行宫颈环扎术孕周多于A组(P<0.05)。A组延长孕周多于B、C组(P<0.05)。A组新生儿体重高于C组(P<0.05)。C组新生儿1-min Apgar评分≤7分和窒息比例高于B组(P<0.05)。C组新生儿并发症比例高于A组(P<0.05)。结论 经阴道宫颈环扎术前FCL与术后妊娠结局有关。宫颈环扎术前FCL≥10 mm患者的新生儿窒息、1-min Apgar评分≤7分和并发症比例降低。Objective To analyze the impact of functional cervical length(FCL) on the pregnancy outcomes after transvaginal cervical cerclage.Methods The clinical data of 33 pregnant women diagnosed with cervical incompetence and undergoing transvaginal cervical cerclage were retrospectively analyzed.According to the measurement of FCL by transvaginal ultrasound before cervical cerclage surgery, 33 pregnant women were divided into three groups of A(FCL ≥ 25 mm, 9 cases),B(10 mm ≤ FCL<25 mm, 16 cases) and C(FCL<10 mm, 8 cases).The pregnancy outcomes were compared among the three groups.Results The gestational age undergoing cervical cerclage of groups of B and C was more than that of group A(P<0.05).The prolongation of gestational age in group A was more than that in groups of B and C(P<0.05).The neonatal weight in group A was higher than that in group C(P<0.05).The proportions of newborns with 1-minute Apgar score ≤ 7 points and neonatal asphyxia in group C were higher than those in group B(P<0.05).The proportion of neonatal complications in group C was higher than that in group A(P<0.05).Conclusion The FCL before transvaginal cervical cerclage is related to postoperative pregnancy outcomes.The pregnant women with FCL ≥ 10 mm before cervical cerclage have reduced proportions of neonatal asphyxia, 1-minute Apgar score ≤ 7 points, and neonatal complications.

关 键 词：经阴道宫颈环扎术 宫颈机能不全 功能性宫颈长度 妊娠结局 

分 类 号：R713[医药卫生—妇产科学]