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目的:明确宫颈机能不全的诊断,探讨宫颈环扎术治疗宫颈机能不全的价值。方法:回顾该院1997年5月~2006年5月诊治的宫颈机能不全的孕妇40例(分为手术组20例和非手术组20例),比较两组的胎儿存活率、平均延长孕周。结果:胎儿存活率手术组90%,明显高于非手术组45%(P<0.01);平均延长孕周:手术组13.8周,明显长于非手术组6.6周(P<0.01)。结论:宫颈机能不全是导致妊娠晚期流产和早产的常见原因,宫颈环扎术可以延长宫颈机能不全患者的孕周,提高胎儿存活率。
Objective: To clarify the diagnosis of cervical incompetence and discuss the value of cervical cerclage in treating cervical incompetence. Methods: Forty pregnant women with cervical incompetence who were treated in our hospital from May 1997 to May 2006 were retrospectively analyzed. Twenty cases in the operation group and 20 cases in the non-operation group were divided into two groups. The average survival rate . Results: The survival rate of fetus was 90% in the operation group, which was significantly higher than that in the non-operation group (P <0.01). The average gestational age was 13.8 weeks in the operation group, significantly longer than that in the non-operation group for 6.6 weeks (P <0.01). CONCLUSION: Cervical incompetence is a common cause of miscarriage and premature labor in late trimester. Cervical cerclage can prolong the gestational age of patients with cervical incompetence and improve fetal survival rate.