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目的探讨宫颈环扎术治疗晚期难免流产的临床疗效。方法选取2007年至2012年舞钢市妇幼保健院收治晚期难免流产患者75例,孕周在16~27周之间,孕妇年龄、孕次、胎次及诊断标准比较差异无统计学意义。随机分成两组,治疗组50例采取宫颈环扎术加保胎药、卧床休息,对照组25例应用保胎药、卧床休息治疗。比较两组新生儿存活、孕周延长情况。结果 50例宫颈环扎术均成功,孕妇无明显不良反应,平均延长孕期54.3d。41例孕妇成功得到存活新生儿。25例采取保守治疗的孕妇失败20例,延长孕期5.26d。5例孕妇成功得到存活新生儿。结论宫颈环扎术治疗宫颈机能不全引起的晚期难免流产是一种有效的方法 ,可以明显延长孕妇孕周和提高新生儿的存活率。
Objective To investigate the clinical effect of cervical cerclage in the treatment of late unavoidable abortion. Methods Seventy-five patients with unavoidable abortion who were admitted to WCH from Wushuang from 2007 to 2012 were enrolled in this study. The gestational age ranged from 16 to 27 weeks. There was no significant difference in the age, gestational age, parity and diagnostic criteria among pregnant women. Randomly divided into two groups, the treatment group of 50 cases of cervical cerclage and retention of fetal drugs, bed rest, the control group of 25 cases of tocolytic drugs, bed rest treatment. The survival and gestational age of two groups were compared. Results 50 cases of cervical cerclage were successful, no adverse reactions in pregnant women, the average extension of 54.3d during pregnancy. 41 pregnant women successfully survived newborns. 25 cases of conservative treatment of pregnant women failed in 20 cases, extending 5.26d during pregnancy. Five pregnant women successfully survived newborns. Conclusion Cervical cerclage treatment of cervical incompetence caused by late unavoidable abortion is an effective method that can significantly prolong pregnant women gestational age and improve the survival rate of newborns.