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目的探讨Mc Donald子宫颈环扎术的临床疗效及其影响因素。方法选取2013年6月至2016年6月行Mc Donald子宫颈环扎术的妊娠孕妇105例,对所有产妇的临床资料进行回顾性分析,分析Mc Donald子宫颈环扎术的临床疗效及其影响因素。结果手术成功91例(86.7%),其中早产38例(41.8%),足月生产53例(58.2%);剖宫产分娩40例(44.0%),阴道生产51例(56.0%)。手术失败14例(13.3%)。采用预防性环扎术44例,手术时间为(22.5±8.5)min,活产率为88.6%(39/44),足月分娩率为65.9%(29/44),治疗性环扎术61例,手术时间为(24.6±9.0)min,活产率为85.2%(52/61),足月分娩率为39.3%(24/61)。结论 Mc Donald子宫颈环扎术的临床效果显著,采用预防性环扎术治疗比治疗性环扎术足月分娩情况更好。
Objective To investigate the clinical effect of Mc Donald cervical cerclage and its influencing factors. Methods A total of 105 pregnant women with cervical cerclage McDonald from June 2013 to June 2016 were selected. The clinical data of all the women were retrospectively analyzed. The clinical effect and influence of McDonald cervical cerclage were analyzed factor. Results The operation was successful in 91 cases (86.7%), of which 38 cases were premature delivery (41.8%) and 53 cases (58.2%) were term delivery. Cesarean delivery was performed in 40 cases (44.0%) and vaginal production was in 51 cases (56.0%). Fourteen cases failed (13.3%). Forty-four cases were treated with prophylactic cerclage, the operative time was (22.5 ± 8.5) min, the live birth rate was 88.6% (39/44), the full-term delivery rate was 65.9% (29/44) For example, the operative time was (24.6 ± 9.0) min, the live birth rate was 85.2% (52/61), and the full-term delivery rate was 39.3% (24/61). Conclusion The clinical effect of McDonald cervical cerclage is significant. The use of prophylactic cerclage is better than that of full-term cerclage.