中国实用妇科与产科杂志

中国实用妇科与产科杂志

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紧急宫颈环扎术的指征与注意事项

祝丽琼,张建平   

  1. 作者单位：中山大学孙逸仙纪念医院妇产科，广东 广州510120
  • 出版日期:2014-02-02 发布日期:2014-01-23

Indications and notices of emergent cerclage.  ZHU Li-qiong,ZHANG Jian-ping. 

ZHU Li-qiong,ZHANG Jian-ping.    

  1. Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
  • Online:2014-02-02 Published:2014-01-23

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摘要：

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。

关键词: 紧急宫颈环扎术, 宫颈机能不全, 自然流产, 早产

Abstract:

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.

Key words: emergent cerclage, cervical incompetence, spontaneous abortion;premature birth

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