紧急性宫颈环扎术对晚期宫颈管扩张伴羊膜囊脱垂患者妊娠结局及并发症的影响  

Effect of emergency cervical cerclage on pregnancy outcome and complications in patients with late cervical canal dilation with amniotic sac prolapse

作　　者：吴瑞元 王莉 吴玲 WU Ruiyuan;WANG Li;WU Ling(Obstetrics and Gynecology Department,Zhoukou Traditional Chinese Medicine Hospital,Zhoukou 466000,China)

机构地区：[1]周口市中医院妇产科,河南周口466000

出　　处：《黑龙江医药科学》2025年第2期31-34,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关计划项目,编号:LHGJ2020321。

摘　　要：目的:研究紧急性宫颈环扎术方案应用于晚期宫颈管扩张伴羊膜囊脱垂治疗的作用,及对妊娠结局、并发症的影响。方法:采用随机数表法将周口市中医院2018年5月至2022年8月收治的76例晚期宫颈管扩张伴羊膜囊脱垂患者分为两组,对照组38例行保守期待治疗,研究组38例行紧急性宫颈环扎术,比较两组妊娠结局、孕妇并发症、新生儿结局、新生儿并发症。结果:分娩孕周、延长妊娠天数,均为研究组更长,1、5、10 min Apgar评分,均为研究组更高(P<0.05);产褥感染风险数据统计,研究组更高(P<0.05),而胎膜早破、绒毛膜羊膜炎、宫颈裂伤风险,组间差异性较小(P>0.05);入住新生儿重症监护病房、超低出生体重儿数据统计,均为研究组更低(P<0.05),而极低出生体重儿占比,组间差异性较小(P>0.05);新生儿呼吸窘迫综合征、支气管肺发育不良、高胆红素血症发生率,均为研究组更低(P<0.05),而动脉导管未闭、脑室内出血、早发败血症风险,组间差异性较小(P>0.05)。结论:紧急性宫颈环扎术能够有效改善患者妊娠结局、新生儿结局,减少新生儿并发症,但会在一定程度上增加孕妇并发症发生风险。Objective:To study the efficacy of emergency cervical cerclage in the treatment of late cervical dilatation with amniotic sac prolapse,as well as its impact on pregnancy outcomes and complications.Methods:Using a random number table method,76 patients with advanced cervical canal dilation and amniotic sac prolapse admitted to Zhoukou Hospital of Traditional Chinese Medicine in Henan Province from May 2018 to August 2022 were divided into two groups.The control group of 38 patients underwent conservative treatment,while the study group of 38 patients underwent emergency cervical cerclage.The pregnancy outcomes,maternal complications,neonatal outcomes,and neonatal complications were compared between the two groups.Results:The gestational weeks and extended pregnancy days in the study group were longer than those in the control group,and the Apgar scores at 1,5,and 10 minutes were higher in the study group than those in the control group,with a significant difference(P<0.05);The risk of puerperal infection was higher in the study group,with a significant difference compared to the control group(P<0.05).However,there was little difference in the risk of premature rupture of membranes,chorioamnionitis and cervical laceration between the groups(P>0.05);Based on the statistics of infants admitted to the neonatal intensive care unit and very low birth weight infants,the study group had a lower rate compared to the control group(P<0.05).However,there was little difference in the proportion of very low birth weight infants between the groups(P>0.05);The incidence of neonatal respiratory distress syndrome,bronchopulmonary dysplasia,and hyperbilirubinemia was significantly lower in the study group than in the control group(P<0.05),while the risk of patent ductus arteriosus,intraventricular hemorrhage,and early-onset sepsis was not significantly different between the two groups(P>0.05).Conclusion:Emergency cervical cerclage can effectively improve the pregnancy outcome and neonatal outcome of patients,reduce neonatal complica

关 键 词：紧急性宫颈环扎术 宫颈管扩张 羊膜囊脱垂 妊娠结局 并发症 

分 类 号：R714.21[医药卫生—妇产科学]