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宫颈环扎术治疗孕中期宫颈机能不全的妊娠结局
引用本文:袁俊斋,张小玲,王瑜.宫颈环扎术治疗孕中期宫颈机能不全的妊娠结局[J].生殖与避孕,2004,24(1):59-60,62.
作者姓名:袁俊斋  张小玲  王瑜
作者单位:河南省濮阳市妇幼保健院,濮阳,457000
摘    要:目的:探讨宫颈环扎术治疗孕中期宫颈机能不全的疗效。方法:36例孕14-28周合并宫颈机能不全,采取宫颈环扎术治疗。结果:孕14-16周手术27例,延长妊娠时间至足月21例,早产3例,流产3例,胎儿成活23例;>16孕周手术9例,延长妊娠时间至足月4例,早产3例,流产2例,胎儿成活6例,两者无统计学差异(P>0.05)。结论:孕14-16周是宫颈环扎术最佳手术时机,>16孕周手术也可提高胎儿成活率,紧急宫颈环扎术是必要的,可以延长妊娠时间,提高活婴分娩率。

关 键 词:宫颈环扎术  宫颈机能不全  妊娠结局
文章编号:0253-357X(2004)01-0059-02

Effect of Cyclic Cerclage in Treating Cervical Malfunction in Mid-gestation and Its Pregnancy Outcome
Jun-zhai YUAN,Xiao-ling ZHANG,Yu WANG Puyang Maternal and Children's Health Hospital,Puyang.Effect of Cyclic Cerclage in Treating Cervical Malfunction in Mid-gestation and Its Pregnancy Outcome[J].Reproduction and Contraception,2004,24(1):59-60,62.
Authors:Jun-zhai YUAN  Xiao-ling ZHANG  Yu WANG Puyang Maternal and Children's Health Hospital  Puyang
Institution:Jun-zhai YUAN,Xiao-ling ZHANG,Yu WANG Puyang Maternal and Children's Health Hospital,Puyang,457000
Abstract:Objective: To study the effect of cyclic cerclage in treating cervical malfunction in mid-gestation and its pregnancy outcome. Method: A total of 36 women who had been pregnant for 14 -28 weeks with cervical malfunction were treated with cyclic cerclage. Results: Cyclic cerclage was performed on 27 women who had been pregnant for 14-16 weeks, and there were no difference on the number of delivery at term, premature delivery, abortion and fetus survived with that of another 9 women who had been pregnant for >16 weeks (P >0. 05). Conclusion:The best time for performing cyclic cerclage is 14-16 weeks of pregnancy, however, it is also effective after 16 weeks. Cyclic cerclage was proved to be effective to resume norm pregnancy time and increase fetus survival rate.
Keywords:cyclic cerclage  cervical malfunction  pregnancy outcome
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