作　　者： (）;

机构地区： 江门市中心医院

出　　处： 《中国当代医药》 2018年第22期128-130,共3页

摘　　要： 目的观察预防性宫颈环扎术和期待疗法在宫颈机能不全(CIC)的治疗效果。方法选取我院产科2016年1月~2017年12月收治的120例CIC住院患者作为研究对象,按照随机数字表法分为对照组(60例)和观察组(60例)。对照组采用期待疗法,观察组实施预防性宫颈环扎术治疗,对比两组妊娠结局。结果观察组在足月产率、新生儿存活率均显著高于对照组,差异有统计学意义(P<0.05);观察组流产率、早产率明显低于对照组,差异有统计学意义(P<0.05)。两组妊娠延长时间比较差异无统计学意义(P>0.05),在妊娠12~17周进行手术的观察组足月产率显著高于18~23周的患者,早产率则低于18~23周患者,差异均有统计学意义(P<0.05)。结论早期施行预防性宫颈环扎术对比期待疗法可有效提高CIC患者足月产率、新生儿存活率,降低流产率、早产率,值得临床借鉴推广。 Objective To observe the therapeutic effects of prophylactic cervical cerclage and expectant therapy in cervical insufficiency（CIC）.Methods A total of 120 CIC hospitalized patients admitted to our department of obstetrics from January 2016 to December 2017 were selected as the study subjects.They were divided into control group（60 cases） and observation group（60 cases） according to random number table method.The control group was used expectation treatment,observation group was performed preventive cervical cerclage treatment,the pregnancy outcomes of the two groups of patients were compared.Results The patients in the observation group had significantly higher rate of term and neonatal survival than the control group,the differences were statistically significant（P〈0.05）.The abortion rate and premature delivery rate in the observation group were significantly lower than those in the control group,the differences were statistically significant（P〈0.05）.There was no significant difference in prolonged pregnancy between the two groups（P〉0.05）.The patients in the observation group who underwent surgery from 12 to 17 weeks of gestation were significantly higher than those in the 18 to 23 weeks group,and the preterm birth rate was lower than that of 18 to 23 weeks,the difference was statistically significant（P〈0.05）.Conclusion Early implementation of prophylactic cervical cerclage contrast to expect full-term therapy can improve the yield and neonatal survival in patients with CIC,reduce the abortion rate and the rate of preterm birth,which is worthy of reference promotion.

关 键 词： 宫颈环扎术 宫颈机能不全 期待疗法 效果

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