摘要
目的探讨在早产高危人群中放置宫颈托对妊娠结局的影响。方法回顾性分析自2014年8月—2015年7月期间同济大学附属第一妇婴保健院放置宫颈托的16例患者的临床资料,并对其手术情况、术后并发症、妊娠结局、新生儿情况进行分析。结果宫颈托放置手术时间5~13min,中位数为9min、术中无出血、无需抗感染治疗,术后16例患者均未主诉取放宫颈托时有疼痛感,1例阴道排液增多。放置宫颈托孕周19.2~27.0周,中位数为23.9周;分娩孕周为21.4~39.3周,中位数为36.3周;延长孕周4d^18周,中位数为10.7周。共孕18例胎儿,其中1例流产,余17例新生儿存活,存活新生儿出生体质量810~3910g,中位数为2828g,其中12例≥2500g;其出生后1min的Apgar评分5~10分,中位数为9分,其中仅3例发生轻度窒息。结论宫颈托操作便捷,不良反应较少,可减少母体创伤,延长早产高危人群的孕周,优化新生儿结局。
Objective To investigate the effects of cervical pessary use for preventing preterm birth in women at high risk.Methods Clinical data of 16 cases of cervical pessary use from August 2014 to July 2015 in Shanghai First Maternity and Infant Hospital,Tongji University,were retrospectively reviewed.The maternal and neonatal outcomes,postoperative complications were analyzed.Results The median operation time was 9 min (range 5-13 min).No intraoperative bleeding occurred and no postoperative anti-infection treatment was needed.No patients complained for pain due to the placement and removal of cervical pessary,there was one case of increased vaginal discharge.The median gestational ages of cervical pessary placement and delivery were 23.9 week and 36.3 week,respectively;and the median prolonged gestational age was 10.7 week.Among 18 fetuses,1 case was miscarried and the rest 17 cases were survived.The median birth weight of survived newborns was 2 828 g and 12 cases were above 2 500 g .The median 1 min Apgar score was 9,and mild asphyxia occurred in 3 cases.Conclusion The cervical pessary is easy for placement with less side effects.It can reduce maternal trauma,prolong the gestational age and improve maternal and fetal outcomes for women at high risk of preterm birth.
作者
韩欢
瞿晓娴
包怡榕
全思洁
应豪
HAN Huan;QU Xiao-xian;BAO Yi-rong;QUAN Si-jie;YING Hao(Dept.of Obstetrics,Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine,Shanghai 201204,China)
出处
《同济大学学报（医学版）》
CAS
2019年第4期484-488,共5页
Journal of Tongji University(Medical Science)
基金
上海市浦东新区卫生与计划生育委员会重点学科群项目(PWZxq2014-02)
关键词
宫颈托
放置孕周
早产
不良反应
妊娠结局
cervical pessary
placement gestational age
preterm birth
side effects
maternal and fetal outcomes
