中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2013, Vol. 42 ›› Issue (10): 891–893.

• 论著 • 上一篇    下一篇

妊娠期子宫脱垂与宫颈机能不全孕妇紧急宫颈环扎术后妊娠结局关系的临床分析

李秋玲,刘思诗,崔红,郑东明,刘彩霞   

  1. 中国医科大学附属盛京医院妇产科,沈阳 110004
  • 收稿日期:2013-07-22 出版日期:2013-10-18 发布日期:2013-11-26
  • 作者简介:李秋玲(1975-),女,副教授,博士
  • 基金资助:
    卫生部卫生行业科研专项201002013

Clinical Analysis of the Relationship between Uterine Prolapse and Pregnancy Outcome of Emergency Cervical Cerlage in the Cervical-incompetent Pregnant Women

LI Qiu-ling, LIU Si-shi, CUI Hong, ZHENG Dong-ming, LIU Cai-xia   

  1. Department of Gynaecology and Obstetrics, Shengjing Hospital, China Medical University, Shenyang, 110004, China
  • Received:2013-07-22 Online:2013-10-18 Published:2013-11-26

摘要:

目的 :评估妊娠期子宫脱垂与宫颈机能不全孕妇孕中期接受紧急宫颈环扎术后妊娠结局的关系。方法 :选择孕中期麦氏紧急宫颈环扎术的48例患者,均为初孕单胎,已明确诊断为宫颈机能不全,孕周范围为16周至27+6周,排除羊膜囊脱出,绒毛膜羊膜炎和胎膜早破。48例根据有无子宫脱垂分成2组,子宫脱垂组8例,非子宫脱垂组40例。结果 :2组在母亲平均年龄,孕周,自然流产史和宫颈扩张程度方面的差异没有统计学意义。子宫脱垂组宫颈至阴道口的距离的平均值明显缩短(2.3#x000b1;0.5cmvs6.3#x000b1;0.2cm,P<0.05),孕周延长时间明显少于非子宫脱垂组(6.5#x000b1;3.6天vs47.2#x000b1;15.2天,P<0.05)。两组在新生儿出生孕周,存活率,入住NICU比率和住院时间方面的差异均具有统计学意义。结论 :子宫脱垂是宫颈机能不全孕妇紧急宫颈环扎术后不良妊娠结局的危险因素。

关键词: 紧急宫颈环扎术, 妊娠期子宫脱垂, 宫颈机能不全

Abstract: Objective To evaluate whether uterine prolapse is a risk factor for pregnancy outcome of emergency cervical cerlage in pregnant women who suffered from cervical incompetence.Methods A total of 48 cases, who were singleton, primipara, diagnosed with cervical incompetence, and underwent emergency McDonald cervical cerclage in the second trimester(from 16 gestational weeks to 27+6 gestational weeks)during January 2009 to December 2012 at Shengjing hospital were enrolled in the study. Exclusion criteria includes amniotic sac prolapse, clinical signs of chorioamnionitis and premature rupture of membrane. Then, the cases were divided into two groups according to with/without uterine prolapse(8 and 40, respectively). Results There were no significant differences of the average maternal age, gestational age, previous abortion history and cervical dilation before cerclage between the two groups. The mean of distance from introitus to cervix was significantly shorter in Proplase Group compared with the Non?proplase Group(2.3±0.5cm vs 6.3±0.2cm, P<0.05), along with the prolonged interval of gestational age(6.5±3.6d vs 47.2±15.2d, P<0.05). There are statistical differences in neonatal birth age, survival ratio, the rate of admitted in NICU, and the tolerance in NICU between the two groups. Conclusion Our results indicated that uterine prolapse is a risk factor for decomprised outcome of emergency cervical cerlage in pregnant women who suffered from cervical in competence.

Key words: emergency cervical cerclage, pregnancy uterine prolapse, cervical incompetence

中图分类号: 

  • R714.21
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