宫颈环扎加头低脚高斜坡卧位治疗宫颈机能不全

Treatment of cervical insufficiency by cervical cerclage with decubitus head down and high slope position

目的探讨宫颈环扎加头低脚高斜坡卧位治疗宫颈机能不全的效果。方法宫颈机能不全患者35例分为两组:A组17例,宫颈环扎,术后臀高位卧床住院保胎;B组18例,术后4-6d出院卧床休息。比较两组妊娠结局。结果 A组孕34周以上者13例,28-34周3例;新生儿存活16例。B组孕34周以上5例,28-34周7例;新生儿存活11例。A组新生儿存活比例高于B组(94.1%vs.61.1%)(P<0.05)。结论宫颈环扎加住院头低脚高斜坡卧位能够明显延长患者妊娠时间,提高新生儿存活率。

Objective To observe the outcomes of treating the cervical insufficiency by cervical cerclage plus trendelenburg slope position. Methods Thirty-five patients with cervical insufficiency were divided into two groups of A（cervical cerclage and staying in hospital with trendelenburg slope position for 3 days, 17 cases） and B（cervical cerclage and staying in bed and in hospital for 4-6 days, 18 cases）. The pregnancy outcomes were compared. Results The pregnant women in group A had 34 weeks gestation in 13 cases, 28 to 34 weeks in 3 cases, and neonatal survival in 16 cases. The pregnant women in group B had 34 weeks gestation in 5 cases, 28 to 34 weeks in 7 cases, and neonatal survival in 11 cases. The neonatal survival rate was higher in group A than that in group B（94. 1% vs. 61.1%） （P〈0. 05）. Conclusion Cervical cerclage plus trendelenburg slope position in bed for 3 days can extend the gestation time and imvrove the neonatal survival rate.