摘要
目的 评价妊娠中期宫颈机能不全实施经阴道宫颈环扎术的干预效果。方法 选取2021年1月—2022年12月长春市妇产医院收治的116例妊娠中期宫颈机能不全患者为研究对象,根据患者意愿分为对照组(58例,保守治疗)和观察组(58例,经阴道宫颈环扎术)。对比两组患者的妊娠结局和新生儿结局。结果 观察组延长孕周、分娩孕周长于对照组,差异有统计学意义(P<0.05)。观察组流产率为17.24%,低于对照组,观察组足月分娩率为34.48%,高于对照组,差异有统计学意义(χ^(2)=9.206、24.166,P<0.05)。观察组新生儿出生体质量、Apgar评分高于对照组,差异有统计学意义(P<0.05)。观察组新生儿呼吸窘迫综合征发生率为0,低于对照组的21.21%,差异有统计学意义(χ^(2)=8.620,P<0.05)。观察组新生儿缺氧缺血性脑病发生率、病死率与对照组比较,差异无统计学意义(P>0.05)。结论 妊娠中期宫颈机能不全实施经阴道宫颈环扎术的干预效果明确,能有效延长妊娠时间,降低围生儿的病死率,从而改善妊娠结局。
Objective To evaluate the intervention effect of transvaginal cervix cerigation for cervical insufficiency in the second trimester.Methods From January 2021 to December 2022,116 patients with Cervical weakness in the sec‐ond trimester of pregnancy who were admitted to Changchun Obstetrics and Gynecology Hospital were selected as the study subjects.According to the wishes of the patients,they were divided into the control group(58 cases,Conserva‐tive management)and the observation group(58 cases,vaginal cervical cerclage).Compared the pregnancy outcomes and neonatal outcomes between the two groups of patients.Results The observation group showed a statistically signifi‐was longer in extending the gestational age and delivery gestational age compared to the control group,and the differ‐ence was statistically significant(P<0.05).The abortion rate in the observation group was 17.24%,lower than that in the control group,and the full term delivery rate in the observation group was 34.48%,higher than the control group,and the difference was statistically significant(χ^(2)=9.206,24.166,P<0.05).The birth weight and Apgar score of new‐borns in the observation group were higher than those in the control group,and the difference was statistically signifi‐cant(P<0.05).The incidence of Infant respiratory distress syndrome in the observation group was 0,lower than that in the control group(21.21%),and the difference was statistically significant(χ^(2)=8.620,P<0.05).There was no statisti‐cally significant difference in the incidence and mortality rate of neonatal hypoxic ischemic encephalopathy between the observation group and the control group(P>0.05).Conclusion In the second trimester of pregnancy,the interven‐tion effect of transvaginal cervical cerigation is clear,which can effectively prolong the pregnancy time,reduce the perinatal mortality,and improve the pregnancy outcome.
作者
白宇
BAI Yu(Department of Prenatal Diagnosis Center,Changchun Obstetrics and Gynecology Hospital,Changchun,Jilin Province,130042 China)
出处
《系统医学》
2023年第9期167-170,共4页
Systems Medicine
基金
吉林省卫生与健康技术创新项目(2018J005)。
关键词
妊娠中期
宫颈机能不全
经阴道宫颈环扎术
妊娠结局
Second trimester
Cervical insufficiency
Transvaginal cervical cerigation
Pregnancy outcome
