紧急宫颈环扎术的应用价值探讨

The Application Value of Emergency Cervical Cerclage

宫颈机能不全(cervical insufficiency)是造成反复中晚期流产及早产的主要原因之一。宫颈环扎术(cervical cerclage)是治疗宫颈机能不全的主要手术方式之一,其治疗效果一直是国内外学者的研究热点。而紧急宫颈环扎术是为了延长发育正常但未发育成熟的胎儿孕周而采取的急症手术,在单胎及多胎妊娠疗效、分娩方式及术式选择、并发症的处理、围手术期的处理和管理以及妊娠结局等方面仍存在争议。综述紧急宫颈环扎术治疗宫颈机能不全的应用价值,为临床提供治疗依据。

Cervical insufficiency is one of the leading causes of middle-late stage abortion and premature birth.Cervical cerclage may be the main operation method to treat and the effect has been the hot topic for the scholars both at home and abroad.Emergency cervical cerclage is in order to prolong the immature fetal gestational age under the emergency circumstances.But it remains controversial in single or multiple pregnancy,choosing of operation type,the delivery method,the treating of complications,the management of peri-operative and pregnancy outcome.We want to discuss the application value of the emergency cerclage and provide the treatment basis for the clinical in this paper.