应激及紧急宫颈环扎术对双胎妊娠结局的影响

Effect of stress and emergency cervical cerclage on the outcome of twin pregnancy

目的探讨应激及紧急宫颈环扎术对双胎妊娠临床结局的影响。方法回顾性分析2016年6月至2019年1月在柳州市妇幼保健院妇科收治的11例孕中期双胎妊娠行应激及紧急宫颈环扎术患者的临床资料及妊娠结局。结果11例患者均成功施行宫颈环扎术,术后延长孕周11~110 d,平均49.45 d,其中2例孕中期流产,胎儿无法存活,9例成功妊娠至晚孕期分娩成活胎儿,分娩孕周28+6~37+3周,>32周分娩率为41.45%。新生儿出生体质量1.0~2.4 kg,Apgar评分5~10分,新生儿成活率81.82%(18/22)。结论应激及紧急宫颈环扎术可延长双胎妊娠宫颈机能不全患者的分娩孕周。

Objective To investigate the effect of stress and emergency cervical cerclage on the outcome of twin pregnancy.Methods From June 2016 to January 2019,the clinical data and pregnancy outcomes of 11 patients who admitted to Liuzhou Maternity and Child Healthcare Hospital with twin pregnancy undergoing stress and emergency cervical cerclage in second trimester were analyzed retrospectively.Results All 11 patients underwent cervical cerclage successfully.The gestational weeks were prolonged by 11-110 days after operation,with an average of 49.45 days.Among the patients,2 cases suffered from abortion in the second trimester with no fetus survived,9 patients succeeded in pregnancy and delivered the surviving fetus in the late pregnancy.The gestational weeks were 28+6 to 37+3,and the delivery rate of>32 weeks was 41.45%.The newborn's birth weight were 1.0-2.4 kg,Apgar score were 5-10,and the survival rates of the newborn were 81.82%(18/22).Conclusion Stress and emergency cervical cerclage can prolong the delivery gestational weeks of twin pregnancy patients with cervical incompetence.