双胎妊娠两次经阴道宫颈环扎成功分娩一例并文献复习

宫颈机能不全是导致妊娠晚期反复流产和早产的主要原因之一。早产可增加围生期发病率与死亡率,给妊娠妇女及家庭带来严重心理和经济负担。目前在国内外,宫颈环扎术被推荐使用于单胎妊娠,对其在双胎妊娠中的应用报道较少,指征不明确。回顾分析1例双胎妊娠经2次宫颈环扎术获2名健康活婴的病例资料并进行文献复习,探讨宫颈环扎术在双胎妊娠中的应用。

Case Report of A Successful Delivery by Twin Pregnancy with Twice Vaginal Cervical Cerclages and Literature Review

Cervical insufficiency is one of the main causes of recurrent late abortions and premature births.Preterm birth can increase the rate of perinatal morbidity and mortality,which brings severe psychological and economic burden to pregnant women and their families.At present,cervical cerclage is recommended to be used in single pregnancy at home and abroad.However,there are few reports on its application in twin pregnancy,and the indications are not clear.In this paper,a case about the parturition of two healthy babies after twice cervical cerclages in twin pregnancy is reported and relevant literature are reviewed to explore the application of cervical ligation in twin pregnancy.