期刊文献+

孕期宫颈环扎术治疗宫颈机能不全35例 被引量:20

下载PDF
导出
摘要 目的评价孕期宫颈环扎术治疗宫颈机能不全的妊娠结局及相关因素分析。方法回顾性分析35例宫颈机能不全患者的临床特征、手术孕周、术后并发症及分娩结局。结果 12~17周组29例患者中延长孕周<10周5例(17.2%),≥10周24例(82.8%);18~25周组6例患者中延长孕周<10周2例(33.3%),≥10周4例(66.7%)。12~17周组延长孕周明显优于18~25周组(P<0.05)。缝合时宫颈长度>3 cm者20例,足月产16例(80%),与宫颈长度1.5~3 cm及<1.5 cm者相比差异有显著性(P<0.05)。延长孕周≥10周与<10周组比较胎膜早破率及感染率差异无显著性(P>0.05)。结论宫颈环扎术最佳孕周为12~17周,缝合时宫颈长度与妊娠结局有明显关系。
出处 《广东医学》 CAS CSCD 北大核心 2011年第10期1295-1297,共3页 Guangdong Medical Journal
  • 相关文献

参考文献8

  • 1SHENNAN A,JONES B.The cervix and prematurity:aetiology,prediction and prevention[J].Semin Fetal Neonatal Med,2004,9(6):471-479.
  • 2RAND L,NORWITZ E R.Current controversies in cervical cerclage[J].Semin Perinatol,2003,27(1):73-85.
  • 3HARGER J H.Cerclage and cervical insufficiency:an evidence-based analysis[J].Obstet Gynecol,2002,100(6):1313-1327.
  • 4HITSCHOLD T,BEFLE P,GONSER M.Emergency celrvix cervix cerclage in a mniotic prolapsc-a realistic option for prolonging pregnancy[J].Z Geburtshilfe Neonatol,2001,205(1):20-26.
  • 5GROOM K M,SHENNAN A H,BENNETT P R.Ultrasound indicated cervical cerclage:outcome depends on preoperative cervical length,and preserced of visible membrane at time of cerclage[J].Am J Obstet Gynecol,2002,187(2):445.
  • 6HASSAN S S,ROMERO R,BERRY S M,et al.Patients with an ultrasonographic cervical length《15 mm have nearly a 50% risk of early spontaneous preterm delivery[J].Am J Obstet Gynecol,2000,182(6):1458-1467.
  • 7INCERTI M,GHIDINI A,LOCATELLI A,et al.Cervical length 《or=25 mm in low-risk women:a case control study of cerclage with rest vs rest alone[J].Am J Obstet Gynecol,2007,197(3):315.e1-e4.
  • 8KURUP M,GOLDKRAND J W.Cervical incompetence:Elective,emergeney,or urgent cerelage[J].Am J Obstet Gynecol,1999,181(2):240-246.

同被引文献95

  • 1唐修武,倪观太.宫颈机能不全的诊疗进展[J].黑龙江医药,2013,26(4):672-676. 被引量:7
  • 2夏恩兰.宫颈机能不全诊治的近代进展[J].妇产与遗传(电子版),2013,3(4):11-15. 被引量:3
  • 3彭再元.宫颈环扎术治疗宫颈机能不全的手术时机探讨[J].现代养生,2014,0(14):151-152. 被引量:1
  • 4黄芳.宫颈环扎术治疗宫颈机能不全[J].医药论坛杂志,2007,28(13):68-68. 被引量:1
  • 5曹泽教.中华妇产科学[M]北京:人民卫生出版社,200585-86.
  • 6苏应宽;刘新民.妇产科手术学[M]北京:人民卫生出版社,1992312-313.
  • 7ACOG Committee on Obstetric Practice. ACOG Committee Opinion No. 475 : antenatal corticosteroid therapy for fetal maturation [ J ]. Obstet Gyneco1,2013,117 ( 2Pt 1 ) :422-d24.
  • 8Smith Graeme, Rafuse Christine. Prevalence, management, and out- comes of preterm pre|abour rupture of the membranes of women in Canada[ J]. Journal of Obstetrics and Gynaecology Canada, 2012, 27 (6),547-553.
  • 9Hein M, Petersen AC, Helmig RB, et al. Immunoglobulin levels and phagocytes in the cervical mucus plug at term of pregnancy[ J]. Acta Obstet Gynecol Scand,2005,84(8) :734-742.
  • 10CM Hailer, W Buerzle. Mussel-mimetic tissue adhesive for fetal membrane repair: An ex vivo evaluation [ J]. Acta Biomaterialia, 2013, 8 (12) :4365-4370.

引证文献20

二级引证文献111

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部