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目的探讨紧急宫颈环扎术在治疗早产中的临床价值。方法选取本院75例早产临产患者随机分成两组,试验组(A)38例:施行紧急宫颈环扎术联合宫缩抑制剂治疗;对照组(B)37例:单纯宫缩抑制剂治疗。记录两组延长妊娠时间,新生儿出生体重、存活率,手术并发症。结果 A组平均延长妊娠时间50.8 d,新生儿平均出生体重2090 g,35例孕妇获得存活新生儿;B组平均延长妊娠时间8.3 d,发生流产31例,新生儿平均出生体重1140 g,6例孕妇获得存活新生儿。结论紧急宫颈环扎术联合宫缩抑制剂在治疗早产临产的效果明显优于单纯药物抑制宫缩治疗,能有效延长妊娠时间,明显增加新生儿出生体重,提高围生儿的存活率。
Objective To investigate the clinical value of emergency cervical cerclage in the treatment of prematurity. Methods 75 cases of preterm labor in our hospital were randomly divided into two groups. The experimental group (A) 38 cases: the implementation of emergency cervical cerclage combined with tocolytic therapy; control group (B) 37 cases: simple tocolytic therapy. Two groups were recorded prolonged pregnancy, newborn birth weight, survival rate, surgical complications. Results In group A, the mean prolonged pregnancy time was 50.8 days, the average newborn birth weight was 2090 g, and 35 pregnant women survived. The average prolonged pregnancy time in group B was 8.3 days. Abortion occurred in 31 cases and the average newborns’ birth weight was 1140 g in 6 cases Pregnant women get surviving newborns. Conclusion The effect of emergency cervical cerclage combined with tocolytic therapy on preterm delivery is better than that of drug therapy alone. It can prolong the time of pregnancy, increase the birth weight and improve the survival rate of perinatal children.