摘要
目的评估紧急宫颈环扎术在治疗因宫颈机能不全致早产临产中效果。方法选择2004-2009年我院产科32周前因宫颈机能不全致早产临产患者共36例,其中治疗组22例采取紧急宫颈环扎术联合宫缩抑制剂（硫酸镁）,对照组14例仅予宫缩抑制剂,然后分析两组治疗情况。结果手术组平均保胎天数52d,对照组平均保胎天数9d,接受紧急宫颈环扎术联合宫缩抑制剂的患者明显延长了保胎天数,增加了34周和37周后的分娩率（P〈0.05）。结论因宫颈机能不全致早产临产患者紧急宫颈环扎术联合硫酸镁治疗效果更好,增加34周以上的分娩率,降低早产率,提高新生儿存活率。
Objective To evaluate the effect of emergency cervical cerclage treatment on preterm labor with cervical incompetence.Methods Select 36 cases occurring in our hospital from 2004 to 2009 with preterm labor because cervical incompetence before their 32th gestational weeks to study,of these there were 22 cases as a groups which accepted emergency cervical cerclage and tocolytic（magnesium sulfate）,while the other 14 cases as another group which accepted tocolytic only,then analyze the treatment of the two groups.Results The group treated with emergency cervical cerclage and tocolytic prolonged gestation by 52 days in mean,and the group treated with tocolytic only prolonged gestation by 9 days in mean.The patients treated with emergency cervical cerclage and tocolytic prolonged obviously gestation days,and the delivery rate after the 34th week and the 37th weeks（P〈0.05）also increased.Conclusion The treatment effect with emergency cervical cerclage and tocolytic on preterm labor with cervical incompetence is better;it enhanced the delivery rate after 34th week,reduced the premature delivery rate and improved neonatal livability.
出处
《四川医学》
CAS
2010年第8期1078-1080,共3页
Sichuan Medical Journal
关键词
紧急宫颈环扎术
早产临产
宫颈机能不全
emergency cervical cerclage
preterm labor
cervical incompetence
