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目的:探讨宫颈环扎术治疗宫颈机能不全的疗效。方法:36例孕14～24周合并宫颈机能不全,采取宫颈环扎术。结果:孕14～16周手术27例,延长妊娠时间至足月21例,早产3例,流产3例,胎儿存活23例(85.19%);大于16孕周手术9例,延长至足月4例,早成3例,流产2例,胎儿存活6例(66.67%),两者无统计学差异(P0.05)。结论:孕14～16孕周是宫颈环扎术最佳手术时机,大于16孕周手术也可提高胎儿成活率,紧急宫颈环扎术是必要的。
Objective: To investigate the efficacy of cervical cerclage in the treatment of cervical incompetence. Methods: 36 cases of pregnancy 14 to 24 weeks of cervical incompetence, cervical cerclage. Results: 27 cases were treated 14 to 16 weeks pregnant, 21 cases were extended to full-term pregnancy, 3 cases were premature delivery, 3 cases were abortion, 23 cases were fetal survival (85.19%), 9 cases were more than 16 gestational weeks and extended to full-term Cases, as early as 3 cases, 2 cases of abortion, fetal survival in 6 cases (66.67%), no significant difference between the two (P> 0.05). Conclusion: Pregnancy 14 to 16 gestational weeks is the best timing for cervical cerclage. Surgeries larger than 16 weeks can improve the survival rate of fetus, and urgent cervical cerclage is necessary.