CAJ | 학술논문

目的：探讨宫颈环扎术的新应用。方法：对2004年1月-2013年12月内蒙古赤峰市喀喇沁旗妇幼保健所、内蒙古计划生育科研所、赤峰学院附属医院及赤峰市元宝山区妇幼保健院共实施宫颈环扎术的61例患者进行回顾性总结。结果：宫颈机能不全者33例，单、双胎先兆早产实施宫颈环扎16例(先兆早产10例、双胎先兆早产6例)均使妊娠达到或超过38周。7例子宫畸形(鞍状子宫2例、纵隔子宫5例)，1例使妊娠延长至28周，其余均延长至33周及以后。4例前置胎盘(完全性前置胎盘3例、部分性前置胎盘1例)均使妊娠延长至34周及以后。1例双胎双羊膜囊一胎分娩后另一胎环扎只延长24 h。结论：宫颈环扎术不仅可应用于宫颈机能不全，也可应用于先兆早产、子宫畸形、前置胎盘及双胎双羊膜囊一胎分娩后，值得临床推广。
목적：탐토궁경배찰술적신응용。방법：대2004년1월-2013년12월내몽고적봉시객나심기부유보건소、내몽고계화생육과연소、적봉학원부속의원급적봉시원보산구부유보건원공실시궁경배찰술적61례환자진행회고성총결。결과：궁경궤능불전자33례，단、쌍태선조조산실시궁경배찰16례(선조조산10례、쌍태선조조산6례)균사임신체도혹초과38주。7례자궁기형(안상자궁2례、종격자궁5례)，1례사임신연장지28주，기여균연장지33주급이후。4례전치태반(완전성전치태반3례、부분성전치태반1례)균사임신연장지34주급이후。1례쌍태쌍양막낭일태분면후령일태배찰지연장24 h。결론：궁경배찰술불부가응용우궁경궤능불전，야가응용우선조조산、자궁기형、전치태반급쌍태쌍양막낭일태분면후，치득림상추엄。
Objective:To investigate the new application of cervical cerclage.Method:A total of 61 patients with cervical cerclage from January 2004 to December 2013 were summarized retrospectively in Maternal and Child Health Hospital of Kalaqin District in Inner Mongolia Chifeng City,Inner Mongolia Family Planning Research Institute,Hospital Affiliated to Chifeng College and Maternal and Child Health Hospital of Yuanbaoshan District in Chifeng City.Result:33 cases were cervical incompetence.16 cases of the single,twin of threatened premature were treated with cervical cerclage(10 cases of threatened premature labor, twins threatened preterm delivery in 6 cases),they reached or exceeded 38 weeks of pregnancy.7 cases were uterine malformations(2 cases of saddle-shaped uterus,5 cases of septate uterus).1 case was extended to 28 weeks of pregnancy,the rest were extended to 33 weeks and later.4 cases were placenta previa(3 cases of complete placenta previa,1 case of partial placenta previa),they were prolonged to 34 weeks of pregnancy.1 case of diamnionic twin a birth after another fetal cerclage only extended 24 hours.Conclusion:Cervical cerclage is applied not only to cervical incompetence can also be applied to the threatened premature labor, uterine malformation,placenta previa and diamnionic twin a fetus after delivery,is worthy of clinical promotion.