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目的:分析阴道镜下生物蛋白胶治疗未足月胎膜早破(PPROM)的可行性。方法:选取该院产科孕28~36周胎膜早破孕妇80例,通过阴道镜观察,将接受生物蛋白胶治疗的32例孕妇设为治疗组,未采用者48例设为对照组。结果:治疗组中4例妊娠延长时间>3周,17例妊娠延长时间1~2周,治疗有效率为65.6%;对照组中仅有8例妊娠延长时间1~3周,治疗有效率为16.7%。治疗组较对照组孕周明显延长,且新生儿出生状况良好。结论:对于未有明显感染征兆的孕妇选择阴道镜下生物蛋白胶封闭羊膜腔可以安全、有效延长孕周。
Objective: To analyze the feasibility of bioprinter under colposcopy in the treatment of preterm premature rupture of membranes (PPROM). Methods: Totally 80 pregnant women with premature rupture of membranes in 28 ~ 36 weeks of gestation were enrolled in the study. Thirty-two pregnant women receiving biological protein glue were selected as the treatment group by colposcopy, and 48 unused patients as the control group. Results: The treatment group, 4 cases of pregnancy extended for> 3 weeks, 17 cases of pregnancy extended for 1 to 2 weeks, the treatment efficiency was 65.6%; control group, only 8 cases of pregnancy extended for 1 to 3 weeks, the effective rate was 16.7%. The treatment group than in the control group gestational weeks was significantly prolonged, and the newborn was born in good condition. CONCLUSIONS: Colposcopic vaginal closure of the amnion with colposcopy for pregnant women who do not have any significant signs of infection can safely and effectively prolong their gestational age.