CAJ | 학술논문

目的：探讨影响择期孕期宫颈环扎术成功因素。方法将我院2010年1月至2013年6月收治的40例宫颈功能不全的孕妇，在卧床休息及保胎治疗的基础上于妊娠12~16周行择期宫颈环扎术。结果40例患者手术过程顺利，术中无并发症。环扎前宫颈长度＞15 mm、＜20 mm患者成功率86.4%，环扎前长度≤15 mm患者成功率44.4%，成功组术后继发阴道炎比例明显低于失败组，差异有统计学意义（P＜0.05）。结论择期妊娠期宫颈环扎术后能使妊娠结局显著改善，宫颈长度及宫颈环扎术后继发阴道炎是影响环扎成功率的主要因素。宫颈长度≤15 mm及易患阴道炎患者可选择孕前腹腔镜或经阴道子宫峡部环扎术。加强感染监控可能提高宫颈环扎成功率。
목적：탐토영향택기잉기궁경배찰술성공인소。방법장아원2010년1월지2013년6월수치적40례궁경공능불전적잉부，재와상휴식급보태치료적기출상우임신12~16주행택기궁경배찰술。결과40례환자수술과정순리，술중무병발증。배찰전궁경장도＞15 mm、＜20 mm환자성공솔86.4%，배찰전장도≤15 mm환자성공솔44.4%，성공조술후계발음도염비례명현저우실패조，차이유통계학의의（P＜0.05）。결론택기임신기궁경배찰술후능사임신결국현저개선，궁경장도급궁경배찰술후계발음도염시영향배찰성공솔적주요인소。궁경장도≤15 mm급역환음도염환자가선택잉전복강경혹경음도자궁협부배찰술。가강감염감공가능제고궁경배찰성공솔。
Objective To investigate the effects of cervix cerclage in pregnant period with cervical incompetence. Methods 40 cases of cervical incompetence during January 2010-June 2013 in our Hospital.They were treated by cervix cerclage at 12-16 weeks of pregnancy on the basis of rest in bed and the treatment of tocolysis. Results The operation were successful and without complication in 40 patients. The successful rate was 86.4%in the patients whose cervix length>15 mm,<20 mm before cerclage and 44.4%in whose cervix length≤15 mm. The ratio of vaginitis after operation is significantly lower in the patients who’s successful in the operation(P<0.05). Conclusion The outcome of pregnancy significantly improved by cervix cerclage in pregnant period. Length of cervix and vaginitis after operation are the main factors that influence the success of operation. To the patients whose cervixlength≤15 mm or with vaginitis, cervix cerclage by laparoscopy or vaginal pre pregnancy is appropriate.Prevention of infection can improve the success rate of cervix cerclage.