摘要
目的:探讨因宫颈机能不全行孕期经阴道宫颈环扎术(TVC)的孕妇妊娠结局的影响因素。方法:选择2016年1月至2022年12月郑州大学第一附属医院收治的328例因宫颈机能不全行孕期TVC的孕妇,以分娩孕周≥28周且新生儿存活为成功标准,260例成功,68例失败。采用Logistic回归分析筛选TVC妊娠结局的影响因素。结果:Logistic回归分析结果显示,年龄、既往孕中期自然流产和(或)早产次数、辅助生殖助孕史、术后并发症是TVC孕妇妊娠结局的影响因素,OR(95%CI)分别为1.110(1.040~1.185)、1.519(1.027~2.248)、0.436(0.214~0.891)和4.711(1.544~14.372)。结论:年龄、既往孕中期自然流产和(或)早产次数、辅助生殖助孕史、术后并发症是单胎孕期TVC疗效的影响因素。
Aim:To investigate the influencing factors of pregnancy outcomes of pregnant women underwent transvaginal cervical cerclage(TVC)during pregnancy due to cervical insufficiency.Methods:From January 2016 to December 2022,a total of 328 singleton pregnant women who underwent TVC due to cervical insufficiency in the First Affiliated Hospital of Zhengzhou University were selected.According to the criteria of delivery gestational week≥28 weeks and newborn survival,260 cases were successful and 68 cases failed.Logistic regression was used to screen the influencing factors of pregnancy outcome after TVC.Results:Logistic regression analysis results showed that age,previous number of spontaneous abortion and/or preterm birth in the second trimester,assisted reproduction and postoperative complications were the risk factors of TVC pregnancy outcomes,and OR(95%CI)were 1.110(1.040-1.185),1.519(1.027-2.248),0.436(0.214-0.891)and 4.711(1.544-14.372),respectively.Conclusion:Age,the number of spontaneous abortion and/or preterm birth in the second trimester,assisted reproduction,and postoperative complications were influencing factors of TVC pregnancy outcomes.
作者
周艳
梁婷
郭瑞霞
赵先兰
ZHOU Yan;LIAGN Ting;GUO Ruixia;ZHAO Xianlan(Department of Obstetrics,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052;Department of Gynecology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)
出处
《郑州大学学报（医学版）》
CAS
北大核心
2024年第1期5-8,共4页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省中青年卫生健康科技创新领军人才培养项目(YXKC2020012)。
关键词
经阴道宫颈环扎术
宫颈机能不全
影响因素
妊娠结局
transvaginal cervical cerclage
cervical insufficiency
influencing factor
pregnancy outcome
