53例紧急宫颈环扎的妊娠结局及新生儿随访

The pregnancy outcome and neonatal prognosis in 53 cases of emergency cervical cerclage

目的评价紧急宫颈环扎术治疗晚期流产及早产的临床效果。方法回顾性分析2009年1月至2011年3月在中国医科大学盛京医院行紧急宫颈环扎术的53例患者的妊娠结局及存活儿的随访结果。结果 53例孕妇平均的妊娠延长天数为46.49d(1～124d)。随访至今,3例足月分娩产妇失访,失访率为5.7%。存活儿48例,43例神经心理发育正常,占存活儿的89.58%;5例可疑神经心理发育异常,占10.41%;1例神经心理发育迟缓,占2.08%;1例诊断为脑瘫,占2.08%.目前2例患儿给予药物治疗及功能锻炼。结论紧急宫颈环扎术可有效延长患者的孕周,明显改善新生儿预后,存活儿神经心理发育良好。

[ Objective] To evaluate the clinical effect of emergency cervical cerclage in the treatment of late a- bortion and premature birth. [ Methods] 53 cases of emergency cervical cerclage were reviewed retrospectively from 2009 juanaryto 2011 March. ,and the pregnancy outcome and the prognosis of survive infants were analysized. [ Re- suits] of the 53 cases, the average prolongation time of pregnancy was 46.49 days. 3 cases of full - term parturients failed to be followed up, the rate is 5.7%. For the 48 survival infants ,43 cases had the normal neuropsychological development,accounted for 89.58%;5 eases were suspected neuropsychological developmental abnormalities, ac- counted for 10.41% ; one case had neuropsychological retardation, accounted for 2.08% ; one case was diagnosed cerebral palsy, accounted for 2.08%. until now 2 cases is having drug therapy and functional exercise. [ Conclu- sion] emergency cervical cerclage can effectively prolong the gestational ages and significantly improve the prognosis of newborns, the neuropsychological development of the follow - uped infants is good.