目的 探讨阴式改良宫颈环扎术治疗妊娠期宫颈机能不全(CIC)的效果及对胎儿存活率的影响。方法 选取2021年1月至2022年1月收治的68例CIC患者为研究对象，按照不同治疗方式将其分为对照组(n=33，保守治疗)和观察组(n=35，阴式改良宫颈环扎术治疗)。比较两组的治疗效果。结果 治疗后，观察组的抗心磷脂抗体(ACA)、抗核抗体(ANA)阳性率低于对照组(P＜0。05)。观察组的流产率、早产率低于对照组，足月分娩率、治疗成功率高于对照组(P＜0。05)。早产、足月分娩患者中，观察组的阴道分娩率高于对照组，剖宫产率低于对照组(P＜0。05)。治疗成功者中，观察组的分娩孕周、新生儿出生体重大于对照组，新生儿出生 1 min Apgar评分、胎儿存活率高于对照组，新生儿转新生儿重症监护病房(NICU)率低于对照组(P＜0。05)。结论 阴式改良宫颈环扎术治疗CIC的效果显著，可降低流产率、早产率，进一步提升足月分娩率、阴道分娩率与胎儿存活率。
Effect of vaginal modified cervical cerclage in the treatment of cervical incompetence during pregnancy and its influence on fetal survival rate
Objective To investigate the effect of vaginal modified cervical cerclage in the treatment of cervical incompetence(CIC)during pregnancy and its influence on fetal survival rate.Methods A total of 68 patients with CIC admitted from January 2021 to January 2022 were selected as the research objects.According to different treatment methods,the patients were divided into control group(n=33,conservative treatment)and observation group(n=35,vaginal modified cervical cerclage treatment).The therapeutic effects of the two groups were compared.Results After treatment,the positive rates of anticardiolipin antibody(ACA)and antinuclear antibody(ANA)in the observation group were lower than those in the control group(P<0.05).The rates of abortion and premature delivery of the observation group were lower than those of the control group,and the full-term delivery rate and success rate of treatment were higher than those of the control group(P<0.05).Among the patients with premature delivery and full-term delivery,the vaginal delivery rate in the observation group was higher than that in the control group,and the cesarean section rate was lower than that in the control group(P<0.05).Among the patients with successful treatment,the gestational age of delivery and neonatal birth weight in the observation group were greater than those in the control group,Apgar score at 1 min of birth for newborns and fetal survival rate were higher than those in the control group,and the rate of newborns transferred to neonatal intensive care unit(NICU)was lower than that in the control group(P<0.05).Conclusion The vaginal modified cervical cerclage in the treatment of CIC has a significant effect,which can reduce the rates of abortion and premature delivery,and further improve the rates of full-term delivery,vaginal delivery and fetal survival.
NETL
NSTL
万方数据
