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目的探讨分析紧急宫颈环扎术治疗中期妊娠宫颈机能不全的临床效果。方法选择我院2013年1月-2013年12月收治的中期妊娠宫颈机能不全患者62例,术前宫口<2cm42例做为观察组,宫口≥2cm 20例做为对照组,两组患者均行紧急宫颈环扎术治疗,观察两组手术效果及并发症发生情况。结果观察组胎儿存活率、平均延长胎龄分别为95.24%、(16.4±2.1)周,显著优于对照组10%、(1.2±0.4)周,差异有统计学意义(P<0.05);观察组流产率4.76%,显著低于对照组85%,差异有统计学意义(P<0.05);所有患者均未发生羊膜腔感染及宫颈裂伤等并发症。结论对于宫口<2cm的中期妊娠宫颈机能不全患者行紧急宫颈环扎术,可以显著延长孕周,提高胎儿存活率。
Objective To investigate the clinical effect of emergency cervical cerclage in the treatment of cervical incompetence in mid-term pregnancy. Methods Sixty-two patients with cervical dysfunction in our hospital from January 2013 to December 2013 in our hospital were enrolled. Among them, 42 cases of <2cm before operation were treated as observation group and 20 cases of uterine bleeding ≥2cm as control. Two groups of patients All patients underwent emergency cervical cerclage treatment. The surgical effects and complications of the two groups were observed. Results The fetal survival rate and average prolonged gestational age in the observation group were 95.24% and 16.4 ± 2.1 weeks, respectively, which were significantly better than those in the control group (10% and 1.2 ± 0.4 weeks, respectively) (P <0.05) The rate of group miscarriage was 4.76%, which was significantly lower than that of the control group (85%) (P <0.05). No complications such as amniotic cavity infection and cervical laceration occurred in all patients. Conclusions The emergency cervix cerclage in patients with cervix insufficiency of cervix <2cm can significantly prolong the gestational age and improve the fetal survival rate.