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目的探讨腹腔镜下宫颈环扎术对非孕及早孕期宫颈机能不全的安全性和可行性。方法选择2015年6月1日~8月30日于中山大学附属第一医院妇科行腹腔镜下宫颈环扎术的患者60例,依照是否为孕期分为非孕组43例,早孕组17例。收集2组的病历资料进行分析。结果早孕与非孕期均顺利完成腹腔镜下宫颈环扎术,其手术持续时间、术中出血量、24h内肛门排气情况、血红蛋白改变、白细胞数改变无统计学差异。结论腹腔镜下宫颈环扎术用于治疗非孕及早孕期宫颈机能不全安全有效,值得临床推广应用。
Objective To investigate the safety and feasibility of laparoscopic cervical cerclage for non-pregnant and early cervical incompetence. Methods From June 1, 2015 to August 30, 2015, 60 cases of laparoscopic cervical cerclage were performed in the First Affiliated Hospital of Sun Yat-sen University. According to whether they were divided into non-pregnant group during pregnancy (43 cases) and early pregnancy group (17 cases) . Two sets of records were collected for analysis. Results Both laparoscopic cervical cerclage and laparoscopic cervical cerclage were performed successfully in early pregnancy and non-pregnant period. There was no significant difference in duration of operation, intraoperative blood loss, anal exhaust in 24h, hemoglobin change and white blood cell count. Conclusion Laparoscopic cervical cerclage is safe and effective for the treatment of cervical incompetence in non-pregnant and early pregnancy, which is worthy of clinical application.