论文部分内容阅读
目的探讨非孕期行宫颈内口矫形术治疗宫颈机能不全的应用价值。方法回顾性分析8例宫颈机能不全患者的临床资料,随访其妊娠结局。结果 8例患者手术过程顺利。术后足月剖宫产分娩5例;孕5个月因胎膜早破行剖宫取胎术1例;术后1个月即妊娠致宫颈伤口愈合不良再次行宫颈前唇修补+环扎术1例,至孕5个月因宫缩无法抑制拆除环扎线流产;行辅助生育尚未妊娠1例。结论对于因宫颈机能不全而导致反复中晚期流产的患者,若孕期行宫颈环扎术仍失败,可选择在非孕期经阴道行宫颈内口矫形术来改善下次妊娠结局。
Objective To investigate the value of cervico-cervix internalisotomy in the treatment of cervical incompetence during non-pregnancy. Methods The clinical data of 8 patients with cervical insufficiency were retrospectively analyzed. The pregnancy outcome was followed up. Results Eight patients underwent a successful operation. 5 cases of full-term postpartum cesarean delivery; 5 months of pregnancy due to premature rupture of membranes cesarean section fetus in 1 case; 1 month after the pregnancy caused by poor healing of cervical wounds again cervical anterior lip repair + cerclage Surgery in 1 case, 5 months pregnant due to contractions can not inhibit the removal of cerclage abortion; line assisted childbirth yet pregnant in 1 case. Conclusions For patients with recurrent miscarriage due to cervical insufficiency, if the cervical cerclage during pregnancy still fails, transvaginal cervico-cervix orthopedic surgery can be chosen to improve the next pregnancy outcome during non-pregnancy.