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治疗性宫颈环扎术对宫颈功能不全患者的临床效果及影响因素

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摘要 目的:探究对宫颈功能不全患者采取治疗性宫颈环扎术的临床效果及影响因素。方法:选取2016年1月至2018年12月期间江门市妇幼保健院收治的150例宫颈功能不全的单胎妊娠患者为研究对象,根据所给治疗方案不同分为观察组(n=75,治疗性宫颈环扎术治疗)和对照组(n=75,保守方法治疗)。观察两组患者的分娩情况及不良妊娠结局,并分析其影响因素。结果:观察组早期新生儿存活率(94.66%)明显高于对照组(80.00%),差异具有统计学意义(P <0.05)。观察组患者分娩孕周明显长于对照组,差异具有统计学意义(P <0.05)。不同宫颈管长度、胎膜早破患者的不良妊娠结局评分比较,差异具有统计学意义(P <0.05)。宫颈管长度> 2.0 cm是不良妊娠结局的保护因素,胎膜早破是不良妊娠结局的危险因素。结论:治疗性宫颈环扎术对宫颈功能不全孕妇的疗效显著,可有效提高分娩孕周及早期新生儿存活率,宫颈管长度> 2.0 cm是不良妊娠结局的保护因素,胎膜早破是不良妊娠结局的危险因素,宫颈管长度> 2.0 cm的孕妇可有效改善妊娠结局。
出处 《深圳中西医结合杂志》 2020年第4期143-145,共3页 Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
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