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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孕前经阴道子宫颈峡部环扎术治疗宫颈机能不全

张松英，金晓莹，徐文治   

  1. 作者单位：浙江大学医学院附属邵逸夫医院妇产科，浙江 杭州310016 
  • 出版日期:2014-02-02 发布日期:2014-01-23

Transvaginal cervicoisthmic cerclage before pregnancy for the treatment of cervical incompetency. 

ZHANG Song-Ying，JIN Xiao-ying,XU Wen-zhi.    

  1. Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine，Hangzhou 310016, China
  • Online:2014-02-02 Published:2014-01-23

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摘要：

宫颈环扎术是目前治疗宫颈机能不全最有效的方法。术式包括Shirodkar和McDonald提出的经阴道宫颈环扎术以及Benson 和Durfee提出的经腹宫颈环扎术。前者环扎位置偏低，效果欠理想，后者手术效果肯定，但需两次进腹进行环扎和拆线，增加了手术创伤和风险。笔者对上述两种宫颈环扎术进行综合，于孕前经阴道在宫颈峡部水平行环扎术123例，发现该术式操作方便，效果理想，拆除方便，是一种值得与各位同道分享的宫颈环扎术式。

关键词: 宫颈机能不全, 宫颈峡部环扎术, 孕前

Abstract:

Abstract:Cervical cerclage is the most effective method for the treatment of cervical incompetence at present. Shirodkar and McDonald's transvaginal cervical cerclage as well as Benson and Durfee's transabdominal cervical cerclage is traditional ways of operation. The former has a lower placement and the effect is less ideal. The latter has a confirmed effect but it increases the surgical trauma and risk for two times into the abdomen. In this paper, the author has performed 123 cases by modified transvaginal cervicoisthmic cerclage before pregnancy, and found that the operation is convenient, ideal, safety and worth promoting. 

Key words: cervical incompetence, transvaginal cervicoisthmic cerclage, progestation

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