宫颈机能不全孕妇宫颈环扎术预防中晚期早产的相关因素分析

Analysis on Related Factors of Cervical Cerclage in the Prevention of Mid-Late Premature Delivery in Pregnant Women with Cervical Insufficiency

目的分析宫颈机能不全孕妇宫颈环扎术预防中晚期早产的相关因素。方法回顾性分析2015年3月至2018年3月我院收治的40例行宫颈环扎术的宫颈机能不全孕妇的临床资料及其妊娠结局。结果宫颈机能不全孕妇应用宫颈环扎术平均延长孕周(9.06±0.96)周,孕周的延长与孕妇宫颈长度及宫口大小有关;胎膜早破是导致中晚期早产的首要因素。结论宫颈环扎术可改善宫颈机能不全孕妇的妊娠结局,同时应重视产前检查及孕期保健,识别影响早产的危险因素,积极实施干预措施,以改善早产儿预后。

Objective To analyze the related factors of cervical cerclage in the prevention of mid-late premature delivery in pregnant women with cervical insufficiency. Methods The clinical data and pregnancy outcomes of 40 cases of pregnant women with cervical insufficiency and cervical cerclage in our hospital from March 2015 to March 2018 were retrospectively analyzed. Results The average extended pregnancy weeks of pregnant women with cervical insufficiency and cervical cerclage were(9.06 ± 0.96) weeks. The prolonged pregnancy was related to the cervical length and cervix size. The premature rupture of the membranes was the primary factor for the mid-late premature delivery. Conclusions Cervical cerclage can improve the pregnancy outcome of pregnant women with cervical insufficiency. At the same time, doctors should pay attention to antenatal examination and pregnancy health care, identify the risk factors affecting premature delivery, and actively implement intervention measures to improve the prognosis of premature infants.