Clinical Observations on the Treatment of Recurrent Cervical Shortening and/or Uterine Dilatation after Emergency Cervical Cerclage with a Rescue Cervical Tray
Objective:To observe the clinical outcome of rescue cervical tray therapy in treating patients with further cervical shortening and/or cervical opening after emergency cervical cerclage.Methods:Patients who underwent emergency cervical cerclage in the Department of Obstetrics of the First Affiliated Hospital of Harbin Medical University from 31 May 2021 to 13 January 2022,with postoperative ultrasonographic monitoring of cervical length,internal diagnosis,and rescue cervical tray treatment were performed in patients with ultrasonographic indications of shortening of cervix and/or dilatation of uterine opening,and dilatation of the cervical canal with exposure of the fetus cysts(singleton fetus)by transvaginal examination(11 cases).Their pregnancy outcome and adverse effects were followed up.Results:Gestational weeks for emergency cervical cerclage were 107-201 days(mean 165.5±34.9 days);gestational weeks for rescue cervical tray placement were 169-262 days(mean 205.9±26.1);gestational weeks for delivery were 193-269 days(mean 249.5±24.9 days);and prolonged days ranged from 18-160 days(mean 84.0+46.3 days).There was no medically induced premature rupture of membranes or chorioamnionitis.10 out of 11 patients obtained newborns.Four of the surviving 10 neonates were admitted to the neonatal unit and all were successfully discharged at a later stage,giving a neonatal survival rate of 100％.Conclusion:The use of rescue cervical supports significantly prolonged gestational weeks and improved pregnancy outcomes in patients with shortened cervix and/or dilated uterine opening after emergency cervical cerclage in this group of cases..
NETL
NSTL
万方数据
