| 摘要: |
| ［摘要］ 目的 探讨改良式宫颈环扎术治疗宫颈机能不全的疗效。方法 将该院诊断为宫颈机能不全的41例患者随机分为两组：A组20例行MeDonald环扎法缝扎宫颈；B组21例行改良式宫颈环扎法缝扎宫颈。结果 A组获得活婴19例（95.0%），其中足月产13例（65.0%），早产6例（30.0%）。B组获得活婴20例（95.2%），其中足月产18例（85.7%），早产2例（9.5%）。两组获得活婴率比较差异无统计学意义（P>0.05），但早产率比较差异有统计学意义（P<0.01）。结论 行改良式宫颈环扎法缝扎宫颈与MeDonald环扎法缝扎宫颈获得活婴率差异无统计学意义，但改良式宫颈环扎法能延长孕周，降低早产率。 |
| 关键词: 宫颈机能不全 改良式宫颈环扎术 复发性流产 |
| DOI：10.3969/j.issn.1674-3806.2013.03.25 |
| 分类号:R 713 |
| 基金项目: |
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| The value of modified cerclage in the treatment of cervical incompetence |
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HUANG Min
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Department of Obstetrics and Gynecology,Hezhou People’s Hospital,Guangxi 542899,China
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| Abstract: |
| ［Abstract］ Objective To discuss the value of modified cerclage in the treatment of cervical incompetence.Methods Forty-one patients with cervical incompetence in our hospital were stochastically divided into two groups: In Group A(n=20), the patients were performed cerclage using MeDonald type. In Group B(n=21), the patients were performed modified cerclage in the treatment.Results In Group A, 19 patients resulted in live births (live births rate was 95.0%);including 13 cases resulted in mature births(65.0%); 6 cases of premature delivery (30.0%). In Group B, 20 cases resulted in live births (live births rate was 95.2%);including 18 cases of mature delivery(85.7%); 2 cases of premature delivery(9.5%). There was no significant difference between Group A and B in live births rate(P>0.05). There was significant difference in premature delivery rate(P<0.01).Conclusion There was no significant difference between MeDonald type and modified cerclage in live births rate. Modified cerclage in the treatment of cervical incompetence can prolong pregnant period and reduced premature delivery rate. |
| Key words: Cervical incompetence Modified cervical cerclage Recurrent spontaneous abortion(RSA) |
