不同妊娠时机行宫颈环扎术治疗宫颈机能不全的临床疗效分析  

Clinical efficacy analysis of cervical cerclage at different pregnancy times for the treatment of cervical incompetence

作　　者：苏德艳 罗岳西[2] 邓在洪 SU De-yan;LUO Yue-xi;DENG Zai-hong(Department of Obstetrics,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China;Department of Obstetrics,Nanchong Central Hospital,the Second Clinical Medical Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院产科,四川南充637000 [2]川北医学院第二临床学院•南充市中心医院产科,四川南充637000

出　　处：《川北医学院学报》2024年第11期1520-1523,共4页Journal of North Sichuan Medical College

基　　金：吴阶平医学基金会临床科研专项资助基金(320.6750.2021-25-5)。

摘　　要：目的:探讨宫颈机能不全者不同妊娠时机行经阴道宫颈环扎术的临床疗效。方法:选取80例宫颈机能不全并行经阴道宫颈环扎术且有妊娠结局的患者作为研究对象。按照不同妊娠时机分为A组(环扎孕周14~18周,n=40)和B组(环扎孕周≥18周,n=40)。分析两组患者的一般资料、围术期管理、妊娠结局及新生儿结局。结果:两组患者一般资料、既往史及分娩方式比较,差异均无统计学意义(P>0.05);A组手术时间、术中出血量及术后抑制宫缩、预防感染时间、绒毛膜炎发生率均低于B组;分娩孕周、延长孕周、新生儿体质量及新生儿出生后1 min Apgar评分均高于B组(P<0.05)。结论:宫颈环扎术对于治疗宫颈机能不全有明显疗效。妊娠于14~18周行宫颈环扎术治疗宫颈机能不全对于延长孕周,改善妊娠结局及新生儿结局有明显效果。Objective:To explore the clinical efficacy of transvaginal cervical cerclage at different pregnancy times in patients with cervical insufficiency.Methods:Retrospective analysis of 80 patients with cervical insufficiency.According to different pregnancy timing,they were divided into Group A(40 cases at gestational weeks 14~18)and Group B(40 cases at gestational weeks≥18).The basic information,perioperative management,pregnancy outcomes,and neonatal outcomes were analyzed between the two groups.Results:There was no statistically significant difference between the two groups of cases in terms of patient basic information,past history,and delivery method(P>0.05).The surgical time,intraoperative blood loss,postoperative suppression of uterine contractions,prevention of infection time,and incidence of choriitis in Group A were lower than those in Group B(P<0.05).The gestational age,gestational age extension,newborn body weight,and 1-minute Apgar score after birth in Group A were higher than those in Group B(P<0.05).Conclusion:Cervical cerclage has a significant therapeutic effect on treating cervical insufficiency.Cervical cerclage performed at 14~18 weeks of pregnancy for the treatment of cervical insufficiency has a significant effect on prolonging gestational age,improving pregnancy outcomes,and neonatal outcomes.

关 键 词：宫颈机能不全 宫颈环扎术 妊娠结局 疗效 

分 类 号：R714[医药卫生—妇产科学] R719[医药卫生—临床医学]