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目的:讨论反复宫颈环扎在临床上的应用价值。方法:回顾性分析2009年1月~2011年12月中国医科大学附属盛京医院产科治疗行宫颈环扎术的患者,术后再次发生宫颈短缩或宫口开大而行反复宫颈环扎术(环扎次数≥2次)的14例患者的妊娠结局。结果:14例孕妇延长天数为12天~116天,平均为63.93天,第二次紧急宫颈环扎术至终止妊娠延长1~68天,平均24天。14例孕妇中10例患者获得活产儿12例,4例流产儿死亡,出生孕周分别为20+6周、23周、24+1周、26+5周。随访中,1例分娩周数为26+6周,新生儿于儿科住院5天后退院,退院后新生儿死亡。11例存活儿随访至今,1例神经心理发育迟缓,1例诊断为脑瘫,目前2例患儿给予药物治疗及功能锻炼。结论:反复宫颈环扎是初次宫颈环扎术后再次发生宫颈短缩或宫口开大的有效补救措施,提高胎儿存活率。“,”Objective:To explore the clinical application value of repeated cervical cerclage.Methods:The pregnancy outcomes of 14 patients who underwent repeated cervical cerclage(more than twice) because of cervical shortening or opening in obstetrical department of the hospital from January 2009 to December 2011 were analyzed retrospectively.Results:The prolongation time of pregnancy of 14 pregnant women was 12-116 days,63.93 days on average.The prolongation time from the second emergency cervical cerclage to termination of pregnancy was 1-68 days,24 days on average.Among 14 pregnant women,10 patients got pregnancy,and 12 live births were born,4 patients received abortion,the gestational weeks of birth were 20+6 week,23 week,24+1 week,and 26+5 week,respectively;during follow-up,one pregnant woman gave her baby at 26+6 gestational week,the neonate left the hospital after five days,then the neonate died.Eleven live births were followed up until now,one neonate was diagnosed as neuropsychological retardation,and one neonate was diagnosed as cerebral palsy,at present,the two neonates were treated with drugs and functional training.Conclusion:Repeated cervical cerclage is an effective remedial measure for the patients found with cervical shortening or opening after the first cervical cerclage,which can improve the fetal survival rate.