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目的探讨紧急宫颈环扎术治疗晚期难免流产的临床价值。方法选取2008年11月至2010年8月中国医科大学附属盛京医院晚期难免流产孕妇65例,40例施行紧急宫颈环扎术,25例未采取手术干预,仅用保胎药物,并卧床休息。统计入院时宫颈情况及术后延长孕周情况。结果 40例紧急宫颈环扎术均成功实施,对产妇无不良影响,平均延长孕期为53.30d。33例患者得存活新生儿。25例未实行紧急宫颈环扎术患者保胎失败23例,发生流产,延长孕期为4.48d。4例患者得存活新生儿。结论紧急宫颈环扎术能有效地延长宫颈机能不全患者的孕周,明显提高新生儿存活率。
Objective To investigate the clinical value of emergency cervical cerclage in the treatment of late unavoidable abortion. Methods From November 2008 to August 2010, Shengjing Hospital Affiliated to China Medical University, 65 cases of late unavoidable abortion pregnant women, 40 cases of emergency cervical cerclage, 25 cases did not take surgical intervention, only with tocolytic drugs, and bed rest . Statistics of cervical conditions at admission and prolonged gestational age after surgery. Results 40 cases of emergency cervical cerclage were successfully implemented, no adverse effects on the mothers, the average extension of pregnancy was 53.30d. Thirty-three patients had newborns alive. Twenty-five cases of miscarriage failure occurred in 25 patients who did not undergo emergency cervical cerclage. Abortion occurred and the duration of pregnancy was 4.48 days. Four patients had newborns alive. Conclusion Emergency cervical cerclage can effectively prolong the gestational age of patients with cervical incompetence and significantly improve the survival rate of neonates.