摘要
目的:探讨紧急宫颈环扎术中Shirodar术式对双胎妊娠合并宫颈机能不全妊娠的结局分析。方法:选取2019年10月~2020年11月弋矶山医院收治的双胎妊娠行紧急宫颈环扎术Shirodar术式的患者,统计其临床资料及妊娠结局;统计2015年4月~2020年11月单胎妊娠行Shirodar术式患者的临床资料及妊娠结局,比较两者的差异性。结果:5例双胎患者成功行Shirodar术式,术后延长妊娠91(61,96)d,其中3例足月分娩,1例早产,1例流产,新生儿存活率80.00%;34例单胎患者行Shirodar术式,术后延长妊娠75.50(29.75,103.75)d,其中13例足月分娩,10例早产,11例流产,新生儿存活率58.82%。双胎妊娠与单胎妊娠在延长孕周天数、流产率、早产率、足月产率、新生儿存活率、体质量及评分方面差异均无统计学意义(P>0.05)。结论:Shirodar术式可用于双胎妊娠合并宫颈机能不全时行紧急宫颈环扎术。无论单胎妊娠还是双胎妊娠,Shirodar术式环扎后均可延长妊娠时间,降低流产率、早产率,提高新生儿存活率。
Objective:To observe the outcomes of Shirodar rescue cervical cerclage in women of twin pregnancy concomitant with cervical incompetence.Methods:Clinical data and the outcomes of pregnancy were obtained from women of twin pregnancy treated by Shirodar rescue cervical cerclage in our hospital between October 2019 and November 2020 and women of singleton pregnancy treated by the same procedure between April 2015 and November 2020,and retrospectively analyzed for the difference of outcomes.Results:Shirodar procedure was successfully completed in the five women of twin pregnancy,which resulted in delayed pregnancy for 91 days(ranging from 61 to 96 days)and full-term delivery in 3 cases.Although premature delivery occurred in one woman,and abortion in another one,the neonatal survival rate arrived at 80%.Of the 34 women with singleton pregnancy undergone Shirodar rescue cervical cerclage,postoperative pregnancy was extended to 75.50 days(ranging from 29.75 days to 103.75 days).Full-term delivery was seen in 13 women,premature delivery in 10,and abortion in 11.The neonatal survival rate was 58.82%.There was no significant difference in gestational weeks,abortion rate,premature birth rate,full-term rate,neonatal survival rate,weight and neonatal score between twin pregnancy and single pregnancy(P>0.05).Conclusion:Shirodar rescue cervical cerclage can be applied to women of twin pregnancy concomitant with cervical incompetence,and may delay gestational days,reduce abortion and premature delivery,yet improve the neonatal survival rate in either singleton or twin pregnancies.
作者
杨慧敏
许慧
孙青
YANG Huimin;XU Hui;SUN Qing(Department of Obstetrics and Gynecology,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2021年第6期546-549,共4页
Journal of Wannan Medical College
基金
安徽省高校自然科学研究项目(KJ2020A0620)。
