紧急宫颈环扎术治疗宫颈机能不全致宫颈扩张临床分析

Analysis the Effect of the Emergency Cervical Cerclage in Cervical Incompetence Indueced Cervical Dilatation

评估紧急宫颈环扎术在治疗宫颈机能不全致宫颈扩张病例中的疗效,选择2004年～2010年我院32周前宫颈机能不全致宫颈扩张患者共48例,其中治疗组30例采取宫颈环扎术联合宫缩抑制剂(硫酸镁),对照保胎组18例仅予宫缩抑制剂,分析两组疗效。两组在治疗后延长妊娠周数,34周及37周分娩率差异显著(P<0.05)。紧急宫颈环扎术及硫酸镁抑制宫缩治疗因宫颈机能不全致宫颈扩张较单纯使用宫缩抑制剂效果好,能有效延长孕周,降低流产、早产率。

To evaluate the effect of emergency cervical cerclage treatment on cervical dilatation with cervical incompetence. Select 48 cases occurring in our hospital from 2004 to 2010 with cervical dilatation because cervical incompetence before their 32th gestational weeks to study, 30 cases of them accepted emergency cervical cerclage and tocolytic therapy （magnesium sulfate）was a group, while the other 18cases of them accepted tocolytic therapy only was another group. The patients treated with emergency cervical cerclage and tocolytic therapy prolonged gestation days and the delivery rate after the 34th week and the 37th week obviously （P^0.05）. The treatment effect with emergency cervical cerclage and tocolytic therapy on cervical dilatation with cervical incompetence is better, it enhanced the delivery rate after 34th week, reduced the premature delivery rate and improved neonatal livability.