宫颈环扎术与孕妇妊娠结局

Cervical cerclage and pregnancy outcome of the pregnant women

目的：观察宫颈环扎术治疗宫颈机能不全后孕妇的妊娠结局.方法：本研究收集妊娠中期确诊为宫颈机能不全患者63例,以《2007版早产的临床诊断与治疗推荐指南》相关要求采用宫颈环扎术治疗宫颈机能不全患者.结果：妊娠12-18周实施宫颈环扎术孕妇的妊娠结局（术后流产2例,早产5例,足月生产28例）显著优于妊娠19-28周者（术后流产10例,早产8例,足月生产9例）,P〈0.05,具有统计学意义.在常规保胎治疗基础上,40例孕妇人为择期实施宫颈环扎术,23例孕妇实施紧急宫颈环扎术.择期实施宫颈环扎术效果显著优于紧急宫颈环扎术,P〈0.05.结论：宫颈环扎术治疗宫颈机能不全的孕妇妊娠结局较为理想,具有较好的临床应用价值.

Objective： To observe the pregnancy outcomes of the pregnant women of cervical incompetence by cervical cer-clage. Methods： The study collected 63 cases of cervical incompetence, which were treated with cervical cerclage according to ＂2007edition of the recommended guidelines of clinical diagnosis and treatment of premature delivery＂. Results： The pregnancy outcome ofcervical cerclage done in 12-18 weeks of pregnancy （2 of miscarriage, 5 of premature delivery, 28 of full-term delivery） was signifi-cantly better than that of those done in 19-28 weeks of pregnancy （10 of miscarriage, 8 of premature, 9 of full-term delivery）, andthe difference was significant （P〈0. 05）. In the background of conventional tocolysis, 40 cases of pregnant women undergone electiveartificial cervical cerclage, and 23 undergone emergency cervical cerclage. The pregnancy outcome of elective cervical cerclage wasbetter than that of emergency cervical cerclage （P〈0. 05）. Conclusions： The treatment of cervical incompetence with cervical cerclagehas an ideal pregnancy outcome, and with a favorable clinical value.