中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2023, Vol. 39 ›› Issue (2): 148-152.DOI: 10.19538/j.fk2023020107

• 专题笔谈 • 上一篇    下一篇

预防早产紧急子宫颈环扎的相关问题

  

  1. 国家区域妇产医疗中心，南京大学医学院附属鼓楼医院妇产科，江苏 南京 210008
  • 出版日期:2023-02-02 发布日期:2023-03-02
  • 通讯作者: 戴毅敏
  • 基金资助:
    江苏省“十四五”卫生健康科教能力提升工程-妇产医学创新中心（CXZX202229）

Problems related to emergency cervical cerclage to prevent preterm delivery.

  1. Department of Obstetrics and Gynecology，Nanjing Drum Tower Hospital，Nanjing University Medical School，Nanjing 210008，China
  • Online:2023-02-02 Published:2023-03-02

摘要： 实施紧急子宫颈环扎术（emergency cervical cerclage，ECC）的目的是延长孕周，避免晚期流产或早产发生。对妊娠16～23+6周，不超过27+6孕周；单胎子宫颈口开大≥1cm，和（或）羊膜囊脱入阴道胎膜完整；双胎子宫颈口≥1cm者，排除感染和宫缩后行ECC具有较高的安全性和有效性。文章还介绍了ECC的手术要点和标准化手术流程管理对保障临床安全的重要性。

关键词: 早产预防, 子宫颈环扎, 紧急性, 体格检查指征

Abstract: The aim of emergency cervical cerclage （ECC） is to prolong gestational weeks to avoid miscarriage in the third trimester or preterm delivery.  After exclusion of infection and active uterus contractions，for those women at 16-23+6 weeks，no more than 27+6 weeks，with singleton cervical ≥1cm，and/or membrane prolapse into vaginal intact membrane；twins cervical ≥1cm，ECC might be a safe and effective optiont. The key point of ECC procedure and the importance of standard management of the operation in ensuring clinical safety are also introduced.

Key words: prevention birth preterm, cervical cerclage, emergency, physical indication

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