摘要
目的观察非孕期经阴道宫颈环扎术与经腹腔镜宫颈环扎术治疗宫颈机能不全患者的疗效差异。方法将2015~2020年治疗的宫颈机能不全患者71例随机分为两组,对照组38例使用经阴道宫颈环扎术治疗,观察组33例使用经腹腔镜宫颈环扎术治疗。对比分析两组患者的手术结局、妊娠结局以及并发症发生率。结果观察组住院总时间少于对照组,手术时长短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.01)。观察组大于37周、大于34周分娩率高于对照组,差异均有统计学意义(P<0.05)。观察组平均分娩孕周大于对照组(P<0.05)。两组流产率差异无统计学意义(P>0.05)。除流产外,观察组分娩32例,新生儿存活率为93.75%,对照组分娩33例,新生儿存活率为81.82%,两组新生儿存活率差异无统计学意义(P>0.05)。除流产外,分娩的新生儿中,观察组新生儿体重重于对照组(P<0.01)。观察组并发症发生率为3.03%,对照组并发症发生率为13.16%,两组差异无统计学意义(P>0.05)。观察组患者保留环扎带率为30.30%(10/33),对照组保留环扎带率为28.95%(11/38),两组差异无统计学意义(P>0.05)。结论经腹腔镜宫颈环扎术相比经阴道宫颈环扎术对患者损害轻、恢复快、宫颈机能改善效果更好,孕期更长,出生新生儿体重更重。
Objective To observe the difference of curative effects of laparoscopic cervical cerclage and transvaginal cervical cerclage on non-pregnancy patients with cervical insufficiency.Methods 71 patients with cervical incompetence treated from 2015 to 2020 were randomly divided into two groups.38 cases in control group were given transvaginal cervical cerclage,and 33 cases in observation group were given laparoscopic cervical cerclage.And then,surgical outcomes,pregnancy outcomes and the incidence of complications were compared and analyzed between the two groups.Results The total length of hospital stay in the observation group was less than that in the control group,the length of operation was longer than that in the control group,and the amount of intraoperative bleeding was less than that in the control group,and differences were all statistically significant(P<0.01).The delivery rates of more than 37 weeks and 34 weeks in the observation group were higher than those in the control group,and difference was statistically significant(P<0.05).The mean gestational weeks of delivery in the observation group were greater than those in the control group(P<0.05).There was no statistically significant difference in abortion rates between the two groups(P>0.05).In addition to abortion,there were 32 cases of delivery in the observation group,and neonatal survival rate was 93.75%,33 cases in the control group,and the neonatal survival rate was 81.82%,and there was no statistically significant difference in the neonatal survival rates between the two groups(P>0.05).In addition to abortion,the weight of newborns in the observation group was heavier than that in the control group(P<0.01).The incidence of complications was 3.03%in the observation group and 13.16%in the control group,and difference was not statistically significant(P>0.05).The rate of retaining cerclage ties was 30.30%(10/33)in the observation group and 28.95%(11/38)in the control group,and the difference was not statistically significant(P>0.05).Conclusion Compared with transvaginal cervical cerclage,laparoscopic cervical cerclage has lighter maternal damage,faster recovery,better cervical function improvement,longer pregnancy,and heavier weight of newborns.
作者
唐佳华
张桂萍
米建锋
胡芸
TANG Jiahua;ZHANG Guiping;MI Jianfeng;HU Yun(Department of Obstetrics and Gynecology,The Second People's Hospital of Qinzhou,Qinzhou 535099,Guangxi,China)
出处
《右江医学》
2022年第4期295-299,共5页
Chinese Youjiang Medical Journal
关键词
宫颈机能不全
经阴道宫颈环扎术
经腹腔镜宫颈环扎术
手术结局
妊娠结局
cervical incompetence
transvaginal cervical cerclage
laparoscopic cervical cerclage
surgical outcome
pregnancy outcome
