PDF(835 KB)
PDF(835 KB)
PDF(835 KB)
紧急宫颈环扎术的指征与注意事项
Indications and notices of emergent cerclage. ZHU Li-qiong,ZHANG Jian-ping.
紧急宫颈环扎术术后安胎成功率可高达72.72%,是宫颈机能不全者治疗不及时的一种有效补救措施。但如不能正确把握其手术时机、掌握手术指征,术后亦可带来严重并发症。因此,严格掌握紧急宫颈环扎术的手术指征,注意术中操作及术后监测,是提高紧急宫颈环扎术成功率的关键。
Abstract:Emergent cerclage may be defined as that performed in the setting of advanced cervical dilation with bulging membranes. It's an emergency operation that can save normal but immature fetus. Previous studies have indicated that the success rate of operation was 72.72%. That means emergent cerclage is a good remedy when the treatment of cervical incompetence is not timely. However, it may have serious complications if we can't grasp the opportunity and master the indications of the operation. So grasp the operation indications strictly, pay more attention in operative procedure and give good postoperative monitoring can improve the success rate of emergent cerclage.
emergent cerclage / cervical incompetence / spontaneous abortion;premature birth
[1] 祝丽琼,张建平.三种时机宫颈环扎术的临床对比研究[J].生殖医学杂志,2009,18(3):269-271.
[2] 张建平,王英兰,张睿,等.妊娠中晚期紧急宫颈环扎术4例分析[J].中国实用妇科与产科杂志,2002,18(4):245-246.
[3] Celen S,Simsek Y,Ozyer S,et al. Effectiveness of emergency cervical cerclage in patients with cervical dilation in the second trimester[J].Clin Exp Obstet Gynecol, 2011, 38(2): 131-133.
[4] Hassan SS ,Romero R, Berry SM, et al. Patients with an ultrasonographic cervical length<15mm have nearly a 50% risk of early spontaneous preterm delivery[J].Am J Obstet Gynecol,2000,182(6):1458-1467.
[5] 祝丽琼,谭剑平,陈慧,等.援救宫颈环扎术9例临床分析[J].中华围产医学杂志,2011,14(7):433-435.
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