宫颈环扎术治疗宫颈机能不全的临床价值

目的评价宫颈环扎术治疗宫颈机能不全的临床价值。方法选取2007年1月。2008年3月解放军总医院妇产科20例因宫颈机能不全行宫颈环扎术的患者。宫颈环扎术在孕15～23周实施．本院的手术方式与传统的宫颈环扎术有所不同，采取了宫颈双“U”宇型缝合，术前、术后辅助保胎治疗。结果20例患者中，行预防性宫颈环扎术18例，补救性宫颈环扎术2例。其结局为1例晚期流产；2例34周前早产，其中1例为孕33“周早产，新生儿体重1905g，另1例为孕31n周早产，新生儿体重l740g，均存活良好；另外17倒均于34周后分娩，新生儿均存活良好。20例患者均无胎膜早破和感染等术后并发症。结论宫颈环扎术是治疗宫颈机能不全、预防反复晚期流产和早产的有效方法。

Significance of cervical cerclage in management of cervical incompetence

Objective To evaluate clinical significance of cervical cerelage in management of cervical incompetence. Methods From January 2007 to March 2008,20 cases of patients with cervical incompetence received cervical cerelage at the Department of Obstetrics and Gynecology ,the General Hospital of PLA. During 15-23 gestational weeks ,cervical cerclage was practiced. Different from traditional operation, the cervical eerclage was practiced by ＂diplo-U＂ suture. Before and after operation, all the patients received tocolysis. Results Among 20 cases, 18 cases received prophylactic cervical cerelage and 2 cases received remedy cervical cerclage. The result of one patient was late abortion. The result of 2 patients was premature birth before 34 gestional weeks. Among them,one case was premature birth before 33^＋4 gestional weeks,whose neonatus weight was 1905g. Another was premature birth before 31＋3 gestional weeks,whose neonatus weight was 1 740 g. The two children survive well now. Other 17 cases delivered after 34 gestional weeks,whose children survive well now. All 20 patients hadn＇t postoperative complication of premature rupture of membrane and infection. Conclusions Cervical cerclage is effective in management of cervical incompetence and prophylaxis of repeatedly late abortion and premature birth.