经阴道宫颈环扎术治疗宫颈机能不全的效果及对妊娠结局的影响

Effectiveness of Transvaginal Cervical Cerclage in the Treatment of Cervical Insufficiency and Its Impact on Pregnancy Outcome

目的探讨经阴道宫颈环扎术治疗宫颈机能不全的效果及其对妊娠结局的影响。方法选取医院2020年5月至2023年5月收治的宫颈机能不全患者70例,随机分为观察组和对照组,各35例。对照组患者接受保守治疗,观察组患者行经阴道宫颈环扎术。结果观察组新生儿存活率、足月产率均显著高于对照组(P<0.05),早产、流产发生率均显著低于对照组(P<0.05);分娩孕周、延长孕期均显著长于对照组(P<0.05);新生儿体质量、Apgar评分均显著高于对照组(P<0.05);并发症发生率为2.86%,显著低于对照组的17.14%(P<0.05)。结论经阴道宫颈环扎术治疗宫颈机能不全能提高新生儿的存活率,减少早产、流产等不良事件的发生,延长分娩周期,提高新生儿体质量及Apgar评分,降低并发症发生率。

Objective To investigate the effect of transvaginal cervical cerclage in the treatment of cervical insufficiency and its influence on pregnancy outcome.Methods Seventy patients with cervical insufficiency admitted to the hospital from May 2020 to May 2023 were selected and randomly divided into the observation group and the control group,with 35 patients in each group.Patients in the control group received conservative treatment,and patients in the observation group underwent transvaginal cervical cerclage.Results The survival rate and full-term delivery rate of newborns in the observation group were significantly higher than those in the control group(P<0.05),and the incidence of preterm delivery and miscarriage was significantly lower than that in the control group(P<0.05);the gestational weeks of delivery and prolongation of pregnancy were significantly longer than those in the control group(P<0.05);the body mass of the newborns and the Apgar score were significantly higher than those in the control group(P<0.05);and the incidence of complication was 2.86%,which was significantly lower than 17.14%in the control group(P<0.05).Conclusion Transvaginal cervical cerclage for the treatment of cervical insufficiency improves neonatal survival,reduces the incidence of adverse events such as preterm labor and miscarriage,prolongs the delivery cycle,improves neonatal body mass and Apgar score,and reduces the incidence of complications.