急诊宫颈环扎术在治疗双胎妊娠宫颈机能不全中的疗效

Effect of Emergency Cervical Cerclage in the Treatment of Twin Pregnancy Cervical Dysfunction

目的:探究急诊宫颈环扎术在治疗双胎妊娠宫颈机能不全中的临床价值。方法:统计本院45例双胎妊娠宫颈机能不全产妇的妊娠结局,并与同期45例单胎妊娠宫颈机能不全产妇进行比较研究。结果:两组产妇手术过程顺利,两组手术时间、术中出血量、住院时间比较,差异均无统计学意义(P>0.05);两组术后感染率比较差异无统计学意义(P>0.05),对照组延长妊娠周数、终止妊娠孕周时间均多于观察组(P<0.05);观察组39例术后获取双胎活婴,其中12例早产,随访中2例因肺发育不良死亡。8例因胎膜早破、宫缩无法抑制等原因拆除环扎线流产,未能存活。对照组43例术后获取单胎活婴,其中6例早产,经护理全部存活。2例流产,未能存活。在整体数据上,对照组优于观察组(P<0.05)。结论:急诊宫颈环扎术在治疗双胎妊娠宫颈机能不全中具有一定的效果,但仍差于单胎妊娠宫颈机能不全产妇。临床中应提高与患者、家属的沟通,谨慎使用宫颈环扎术。

Objective:To investigate the clinical value of emergency cervical cerclage in the treatment of twin pregnancy cervical dysfunction.Method:A total of 45 cases of twin pregnancy pregnant women with cervical dysfunction maternal pregnancy outcome,and with the same period 45 cases of single pregnancy pregnant women with cervical dysfunction were compared.Result:The operation process of two groups were smooth,there were no significant differences between two groups in the operation time,intraoperative blood loss and hospitalization time(P>0.05).There was no significant difference in the postoperative infection rate between two groups(P>0.05).In the control group,the gestational lengthen weeks and the weeks of termination pregnancy were more than those in the observation group(P<0.05).In the observation group,39 cases were treated with twin births,including 12 cases of preterm birth and follow-up,2 cases died of pulmonary dysplasia.8 cases were due to premature rupture of membranes,uterine contraction can not be inhibited and other reasons to remove the ring line abortion,failed to survive.In the control group,43 cases were treated with single live births,6 cases of them were pretermed and all were cured.2 cases of abortion,failed to survive.On the whole data,the observation group was superior to the control group(P<0.05).Conclusion:Emergency cervical cerclage in the treatment of twin pregnancy cervical dysfunction has a certain effect,but still worse than single pregnancy women with cervical dysfunction.Clinical should improve communication with patients,family members,careful use of cervical cerclage.