不同紧急宫颈环扎手术方式对宫颈机能不全患者临床疗效分析

Clinical effect of emergency cervical cerclage on patients with cervical insufficiency

目的:探究紧急宫颈环扎手术对宫颈机能不全患者临床疗效。方法:选取2018年1月至2020年12月郑州市妇幼保健院收治的宫颈机能不全患者102例作为研究对象,所有患者均为单胎妊娠,孕周14-28 w,经B超检查有明显宫口扩张,且宽度大于8mm,且已出现了流产的症状。按照手术方法分为对照组(n=51)和观察组(n=51),对照组应用保守治疗,观察组应用紧急宫颈环扎术治疗,分别在孕妇妊娠28w前记录其流产情况,在妊娠28~37w记录其早产情况,所有孕妇生产后记录其总体妊娠结局;观察并记录两组患者住院期间出现的并发症、不良反应情况;对比两组患者分娩孕周、延长孕周及新生儿出生体重。结果:观察组晚期流产率、早产率明显低于对照组,足月产率和活产率明显高于对照组(P<0.05);观察组术后并发症发生率13.73%、用药不良反应发生率1.76%明显低于对照组39.22%和37.25%(P<0.05);观察组分娩孕周、延长孕周及新生儿出生体重均明显高于对照组(P<0.05)。结论:紧急宫颈环扎手术对宫颈机能不全患者临床疗效确切,可有效延长妊娠周期,提高新生儿存活几率,减少并发症及不良反应的发生。

Objective:To explore the clinical effect of emergency cervical cerclage on patients with cervical insufficiency.Methods:102 patients with cervical incompetence admitted to Zhengzhou Maternal and Child Health Care Hospital from January 2018 to December 2020 were selected as the study subjects.All patients were single pregnancy,14-28 weeks gestation,and had obvious dilatation of the cervix,with a width greater than 8 mm,and had the symptoms of abortion.According to the operation method,they were divided into control group(n=51)and observation group(n=51).The control group was treated with conservative treatment,and the observation group was treated with emergency cervical cerclage.The abortion of pregnant women was recorded before 28 weeks of pregnancy,the premature delivery was recorded at 28-37 weeks of pregnancy,and the overall pregnancy outcome was recorded after all pregnant women gave birth;Observe and record the complications and adverse reactions of patients in both groups during hospitalization;The gestational weeks,extended gestational weeks and newborn birth weight of the two groups were compared.Results:The late abortion rate and premature delivery rate in the observation group were significantly lower than those in the control group,and the full term and live birth rates were significantly higher than those in the control group(P<0.05);The incidence of postoperative complications and adverse drug reactions in the observation group was 13.73%and 1.76%,which were significantly lower than those in the control group(39.22%and 37.25%,P<0.05);The gestational weeks,extended gestational weeks and newborn birth weight of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Emergency cervical cerclage has a definite clinical effect on patients with cervical incompetence,can effectively prolong the pregnancy cycle,improve the survival rate of newborns,and reduce the occurrence of complications and adverse reactions.