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目的探讨宫颈环扎加头低脚高斜坡卧位治疗宫颈机能不全的效果。方法宫颈机能不全患者35例分为两组:A组17例,宫颈环扎,术后臀高位卧床住院保胎;B组18例,术后4-6d出院卧床休息。比较两组妊娠结局。结果 A组孕34周以上者13例,28-34周3例;新生儿存活16例。B组孕34周以上5例,28-34周7例;新生儿存活11例。A组新生儿存活比例高于B组(94.1%vs.61.1%)(P<0.05)。结论宫颈环扎加住院头低脚高斜坡卧位能够明显延长患者妊娠时间,提高新生儿存活率。
Objective To investigate the effect of cervical cerclage plus low-lying high-lying supine position on cervical incompetence. Methods Thirty-five patients with cervical incompetence were divided into two groups: group A (n = 17), cerclage cerclage, postoperative high hip stay in hospitalized fetus, group B (n = 18), and discharged 4-6 days after operation. Pregnancy outcomes were compared between the two groups. Results A group of pregnant more than 34 weeks in 13 cases, 28-34 weeks in 3 cases; neonatal survival in 16 cases. B group 34 weeks pregnant more than 5 cases, 28-34 weeks in 7 cases; 11 cases of neonatal survival. The neonatal survival rate in group A was higher than that in group B (94.1% vs.61.1%) (P <0.05). Conclusions Cervical cerclage and hospitalization of low head and high lumbar supine position can significantly prolong the pregnancy time and improve the neonatal survival rate.