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目的:熟悉宫颈功能不全的发病因素和发病特点,研究宫颈环扎术对孕妇妊娠结局的影响。方法:对118例确诊宫颈机能不全的妊娠中期孕妇的临床资料进行回顾性分析,将患者分为预防性宫颈环扎组和保守观察组,预防性宫颈环扎组69例行宫颈环扎术,保守观察组49例行保守性治疗,比较两组患者年龄、既往孕次、产次、流产次数,此次的流产率、早产率、新生儿存活率等。结果:两组患者在年龄、孕次、流产次数、宫颈产伤或宫颈锥切损伤例数等方面相对比,其差异无统计学意义(P>0.05);两组患者早产率、流产率、足月妊娠率和新生儿存活率的差异均具有统计学意义(P<0.05)。结论:宫颈环扎手术在宫颈机能不全的治疗和对于中晚期自然流产、早产的预防中是一种有效方法。
Objective: Familiar with the incidence of cervical dysfunction and incidence characteristics of cervical cerclage on the pregnant women pregnant outcome. Methods: The clinical data of 118 pregnant women diagnosed with cervical incompetence during the second trimester of pregnancy were retrospectively analyzed. The patients were divided into prophylactic cervical cessation group and conservative observation group. In the preventive cervical cerclage group, 69 cases were treated by cervical cerclage, Conservative observation group of 49 patients underwent conservative treatment, comparing two groups of patients age, previous pregnancy times, delivery times, the number of abortions, the abortion rate, premature birth rate, neonatal survival rate. Results: There was no significant difference between the two groups in terms of age, gestational age, the number of miscarriage, the incidence of cervical trauma or the number of cases of cervical conization (P> 0.05). The rates of preterm birth, miscarriage, The differences of full-term pregnancy rates and neonatal survival rates were statistically significant (P <0.05). Conclusion: Cervical cerclage in the treatment of cervical insufficiency and for the prevention of spontaneous abortion and premature delivery is an effective method.