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孕前腹腔镜子宫峡部环扎术治疗宫颈机能不全12例 被引量:3

Laparoscopic uterine isthmus cerclage before pregnancy in the treatment of cervical incompetence
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摘要 目的:探讨孕前腹腔镜子宫峡部环扎术治疗宫颈功能不全的临床效果。方法:收治宫颈功能不全患者24例,随机分为两组,每组各12例。对照组宫颈功能不全患者给予经阴道宫颈内口环扎术治疗,观察组宫颈功能不全患者给予孕前腹腔镜子宫峡部环扎术治疗,比较两组宫颈功能不全患者临床效果、并发症发生率以及再次复发流产情况。结果:观察组宫颈功能不全患者足月分娩率明显高于对照组,早产率、复发流产率均低于对照组(P<0.05)。观察组宫颈功能不全患者术后并发症发生率显著低于对照组(P<0.05)。结论:孕前腹腔镜子宫峡部环扎术治疗宫颈功能不全的临床效果显著,能有效降低并发症发生率。 Objective:To investigate the clinical effect of laparoscopic uterine isthmus cerclage before pregnancy in the treatment of cervical incompetence.Methods:24 cases of patients with cervical incompetence were divided into two groupsrandomly.Tbe control group was treated with transvaginal intrauterine cerclage,and the observation group was treated with laparoscope uterine isthmus cerclage before pregnancy,the clinical effect,the incidence of complications and the recurrence of recurrent abortion were compared between the two groups.Results:The delive^y- rate of the observation group was significantly higher than that of the control group,and the rate of premature delivery and recurrent abortion were all lower than those of the control group (P 〈 0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P 〈 0.05).Conclusion:Laparoscopic uterine isthmus cerclage before pregnancy in the treatment of cervical incompetencethe had significant clinical effect,which could reduce the incidence of cornplicationseffectively.
作者 赵美英 Zhao Meiying(ChengxinHospital of Yuncheng in Heze City,Shandong Province 27470)
出处 《中国社区医师》 2018年第28期83-83,93,共2页 Chinese Community Doctors
关键词 腹腔镜 宫颈功能不全 流产 Laparoseopy Cervieal incompetence Abortion
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