摘要
目的探讨宫颈功能不全早孕期腹腔镜下宫颈环扎术后妊娠结局及手术可行性。方法回顾性分析24例因宫颈功能不全行早孕期腹腔镜下宫颈环扎患者的临床资料，观察其手术情况和妊娠结局。结果麻醉及手术过程顺利，术中、术后无流产发生。手术时间（40．3±5．8）min，出血量（32．9±4．3）ml。妊娠期宫颈长度（3．5±0．8）cm，所有患者剖宫产分娩，分娩孕周（34．8±2．6）周，孕≥37周分娩率为50．0％（12／24）；围生儿存活率为95．8％（23／24），均无出生缺陷。23例新生儿出生体质量（2735±528）g，低出生体质量儿4例。结论对于有孕前宫颈环扎指征未能及时手术或宫颈长度〈2．5OITI的早孕期宫颈功能不全患者，腹腔镜下宫颈环扎是安全可行的，术后能够延长孕周，提高围生儿存活率，改善妊娠结局。
Objective To investigate pregnancy outcome and feasibility of early pregnancy laparoscopic cervical cerclage surgery in patients with uterine cervical incompetence. Methods The clinical data of 24 uterine cervical incompetence patients who had underwent early pregnancy laparoscopic cervical cerclage were retrospectively analyzed, and the operation and pregnancy outcomes were observed. Results The anesthesia and operation of all patients were smooth, and no abortion occurred during and after operation. The operation time was （40.3 ± 5.8） min, and the amount of bleeding was （32.9 ± 4.3） ml. The cervical length of pregnancy was （3.5 ± 0.8） cm. All patients were cesarean delivery, and the gestational age of delivery was （34.8 ± 2.6） weeks. The term delivery rate was 50.0% （12/24）; the perineonate survival rate was 95.8% （23/24）, and none of the neonates had birth defects. The weight of 23 neonates was （2 735 ± 528） g, and the low birth weight infant was in 4 cases. Conclusions For those who need to progestation cervical cerclage but failed to timely surgery or whose cervical length less than 2.5 em in patients with early pregnancy uterine cervical incompetence, early pregnancy laparoscopic cervical cerclage is safe and feasible. After the operation, the gestational age can be prolonged, the perineonate survival rate will be improved, and the pregnancy outcome will be improved.
作者
李全香
高艳华
严凤
Li Quanxiang;Gao Yanhna;Yan Feng.(Department of Obstetrics and Gynecology, Baoding Maternity and Children Health Care Hospital, Baoding 071000, China)
出处
《中国医师进修杂志》
2018年第5期440-443,共4页
Chinese Journal of Postgraduates of Medicine
基金
2016年保定市科学技术研究与发展指导计划（16ZF002）
关键词
宫颈功能不全
腹腔镜
环扎术
宫颈
回顾性研究
Uterine cervical incompetence
Laparoscopes
Cerclage, cervical
Retrospective studies
