宫颈环扎术治疗双胎妊娠宫颈机能不全的效果分析

Curative Effect Analysis of Cervical Cerclage in Treatment of Cervical Insufficiency of Twin Pregnancies

目的探讨宫颈环扎术治疗双胎妊娠宫颈机能不全的效果。方法选取2016年1月—2020年6月本院收治的56例通过宫颈环扎术治疗双胎妊娠宫颈机能不全的产妇作为研究对象,将其分成两组,每组28例。对照组采用常规宫缩抑制剂药物进行治疗,实验组在对照组基础上采用宫颈环扎术进行治疗,对比分析两组产妇和新生儿的分娩结局、产妇的分娩时间与住院时间、新生儿出生体重、新生儿Apgar评分等。结果研究结果显示,实验组孕妇分娩结局优于对照组(P<0.05),实验组新生儿结局优于对照组(P<0.05);实验组孕妇延迟分娩时间短于对照组(P<0.05);实验组住院时长短于对照组(P<0.05);实验组新生儿体重重于对照组(P<0.05);实验组新生儿Apgar评分高于对照组(P<0.05)。结论宫颈环扎术对双胎妊娠宫颈机能不全的产妇有一定的疗效,超声指征性环扎妊娠结局优于紧急环扎术产妇,需合理掌握手术时机。

Objective To observe curative effect of cervical cerclage in treatment of cervical insufficiency with twin pregnancies.Methods The paper chose 56 cases of pregnant women with cervical incompetence treated with cervical cerclage in our obstetrics department from January 2016 to June 2020,and divided them into two groups:control group and experimental group,with 28 cases per group.Control group was treated with routine uterine contraction inhibitors,while experimental group with cervical cerclage.Delivery outcomes,gestational week extension,newborn birth weight,newborn Apgar scores,and maternal complications were compared and analyzed between two groups.Results Delivery outcomes of pregnant women showed,experimental group had 23 successful deliveries,3 infections and 2 bleeding,while control group had 19 successful deliveries,6 infections and 4 bleeding.Delivery outcomes in experimental group were better than control group(P<0.05).Comparison of neonatal outcomes showed,there were 25 healthy newborns and 3 deaths in experimental group,and 21 healthy newborns and 7 deaths in control group.Neonatal outcomes were better than control group(P<0.05).Average hospital stay of experimental group was(3.41±1.65)days for delivery,and average gestational age for delayed delivery was(27.51±2.12)weeks.Nursing satisfaction degree of experimental group was 92.00%,average length of stay in control group was(4.25±1.86)days for delivery,and average gestational age for delayed delivery was(34.22±3.45)weeks,difference was statistically significant(P<0.05).Comparison between two groups showed,weight of newborns experimental group was(1934.69±815.17)g,higher than(1079.38±547.77)g in control group,difference between the groups was statistically significant(P<0.05).Comparison showed,newborn Apgar scores in experimental group were(7.80±3.91),higher than(5.66±3.91)in control group,difference between the groups was statistically significant(P<0.05).Conclusion Cervical cerclage can achieve some certain curative effect on pregnant women with cervical insufficiency with twin pregnancies.Ultrasound guided cerclage has better pregnancy outcomes than emergency cerclage,and timing of surgery should be reasonably controlled.