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目的评价改良宫颈环扎术用于宫颈功能不全的疗效及安全性,为临床工作提供一定的参考信息。方法选择我院2009年10月-2011年12月治疗的宫颈功能不全患者71例作为研究对象,均采用改良宫颈环扎术治疗,观察比较两组的疗效及安全性。结果孕周为12-18周的患者手术成功率为94.6%,孕周为>18周的患者手术成功率为73.5%,组间差异有统计学意义(P<0.05);宫口开大≤2cm的患者手术成功率97.4%,宫口开大>2cm的患者手术成功率为68.8%,组间差异有统计学意义(P<0.05);患者均无严重并发症发生,安全性好。结论改良宫颈环扎术用于宫颈功能不全的治疗中可以获得较为满意的临床疗效,安全性高,在临床工作中要注意选择较佳的手术时机。
Objective To evaluate the efficacy and safety of modified cervical cerclage for cervical insufficiency and to provide some reference information for clinical work. Methods Seventy-one patients with cervical dysfunction who were treated in our hospital from October 2009 to December 2011 were selected as study subjects. All patients were treated with modified cervical cerclage. The curative effect and safety of the two groups were observed and compared. Results The successful rate was 94.6% in gestational weeks 12-18 weeks and 73.5% in gestational weeks> 18 weeks. The difference between the two groups was statistically significant (P <0.05) The success rate of operation was 97.4% in 2 cm and 68.8% in patients with cervix open> 2 cm. The difference between the two groups was statistically significant (P <0.05). No serious complication occurred and the safety was good. Conclusion Improved cervical cerclage for cervical insufficiency treatment can get more satisfactory clinical efficacy, high safety, in clinical work should pay attention to choose a better timing of surgery.