CAJ | 학술논문

目的：探讨紧急宫颈环扎术在治疗早产中的临床价值。方法选取本院75例早产临产患者随机分成两组,试验组(A)38例：施行紧急宫颈环扎术联合宫缩抑制剂治疗；对照组(B)37例：单纯宫缩抑制剂治疗。记录两组延长妊娠时间,新生儿出生体重、存活率,手术并发症。结果 A组平均延长妊娠时间50.8 d,新生儿平均出生体重2090 g,35例孕妇获得存活新生儿；B组平均延长妊娠时间8.3 d,发生流产31例,新生儿平均出生体重1140 g,6例孕妇获得存活新生儿。结论紧急宫颈环扎术联合宫缩抑制剂在治疗早产临产的效果明显优于单纯药物抑制宫缩治疗,能有效延长妊娠时间,明显增加新生儿出生体重,提高围生儿的存活率。
목적：탐토긴급궁경배찰술재치료조산중적림상개치。방법선취본원75례조산임산환자수궤분성량조,시험조(A)38례：시행긴급궁경배찰술연합궁축억제제치료；대조조(B)37례：단순궁축억제제치료。기록량조연장임신시간,신생인출생체중、존활솔,수술병발증。결과 A조평균연장임신시간50.8 d,신생인평균출생체중2090 g,35례잉부획득존활신생인；B조평균연장임신시간8.3 d,발생유산31례,신생인평균출생체중1140 g,6례잉부획득존활신생인。결론긴급궁경배찰술연합궁축억제제재치료조산임산적효과명현우우단순약물억제궁축치료,능유효연장임신시간,명현증가신생인출생체중,제고위생인적존활솔。
Objective To investigate the clinical value of emergency cervical cerclage in the treatment of preterm birth. Methods In our hospital 75 cases of preterm labor were randomly divided into two groups. The test group (A) in 38 cases:Emergency cervical cerclage combined with tocolytic therapy;the control group (B) in 37 cases:Simple tocolytic therapy. Recording two groups of prolonged pregnancy. Neonatal birth weight. fraction surviving, livability, operation complications. Results A group of average prolong pregnancy 50.8 days. The average birth weight of newborns in 2090 g. 35 cases of pregnant women receive survival of newborn;B group of average prolong pregnancy 8.3 days. 31 cases of abortion. The average birth weight of newborns in 1140 g. 6 cases of pregnant women receive survival of newborn. Conclusion Emergency cervical cerclage combined with inhibitors of uterine contraction in the treatment of preterm labor are better than single drug tocolytic treatment and can effectively prolong the time of pregnancy, increased neonatal birth weight. improve perinatal outcomes.