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腹腔镜宫颈峡部环扎治疗宫颈机能不全的临床价值分析 被引量:5

Clinical value analysis of laparoscopic cervical cerclage for cervical incompetence
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摘要 目的探讨腹腔镜宫颈峡部环扎术治疗宫颈机能不全患者的临床效果。方法抽选我院2013年1月~2014年2月收治的宫颈机能不全患者49例为研究对象,结合患者入院时间分为观察组(25例)和对照组(24例)。对照组患者实施经阴道宫颈环扎手术治疗,观察组患者则实施腹腔镜宫颈峡部环扎术治疗,对比两组患者手术成功率,同时对比两组患者术后妊娠情况。结果观察组手术成功率为96.0%,对照组患者手术成功率为79.2%,差异有统计学意义(P〈0.05)。观察组足月产儿率(88.0%);对照组足月产儿率(62.5%),差异有统计学意义(P〈0.05)。同时观察组患者并发症发生率为0;对照组并发症发生率12.5%,差异有统计学意义(P〈0.05)。结论腹腔镜宫颈峡部环扎术治疗宫颈机能不全患者有着良好的临床效果,能有效提升患者手术成功率,提高患者术后安全性,值得临床推广。 Objective To explore the clinical value of laparoscopic cervical cerclage for cervical incompetence. Methods 49 patients with cervical incompetence cured in our hospital from January 2013 to February 2014 were selected as the research objects. They were divided into observation group and control group according the admission time with 25 cases in observation group and 24 cases in control group. Patients in control group were treated with transvaginal cervical cerclage surgery, and patients in control group were treated with laparoscopic cervical cerclage surgery. The surgical success rate and pregnancy after operation of the two groups were compared. Results The surgical success rate of observation group was 96.0%, and the control group was 79.2%. The difference was significant(P 0.05). The term infant rate of observation group was 88.0%, and the control group was 62.5%. The difference was significant(P 0.05). The complication rate of observation group was 0, and the control group was 12.5%. The difference was significant(P 0.05). Conclusion The clinical value of laparoscopic cervical cerclage for cervical incompetence was good, which could effectively improve the success rate of patients with surgery and improve patient safety. It was worthy of clinical promotion.
作者 刘伟国 陈菲
出处 《中国医药科学》 2016年第12期92-94,共3页 China Medicine And Pharmacy
关键词 腹腔镜宫颈峡部环扎术 经阴道宫颈峡部环扎术 宫颈功能不全 妊娠情况 Laparoscopic cervical cerclage Transvaginal cervical cerclage Cervical incompetence Pregnancy
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