A Meta-analysis of the efficacy of transvaginal cervical cerclage before pregnancy and laparoscopic transab-dominal cervical cerclage during pregnancy in the treatment of women with cervical incompetence in China
Objective To compare the therapeutic effects of transvaginal cervical cerclage(TVCC)and laparoscopic transabdominal cervical cerclage(LTCC)in pregnant women with cervical incompetence in China.Methods PubMed and Web of science and other foreign language search databases were searched by using the key words of Laparoscopic transabdominal cerclage,cervical incompetence,transvaginal cervical cerclage,etc.,and Wanfang database,CNKI,CBM,VIP and other Chinese search databases were searched by using the key words of laparoscopic cervical cerclage,transvaginal cervical cerclage,cervical incompetence,pregnancy outcome,perinatal outcome,etc.,until June 2023.Rele-vant literatures were selected and relevant data were extracted according to the inclusion and exclusion criteria.Stata12.0 software was used for statistical analysis.Results A total of 16 articles were included,including 5 RCT studies and 11 cohort studies,all of which were Chinese studies.A total of 1160 samples were included.Meta results showed that com-pared with TVCC,after LTCC,cervical incompetence patients had higher full-term rate(OR=4.95,95％CI 3.63～6.75,P＜0.05),lower premature delivery rate(OR=0.24,95％CI 0.17～0.35,P＜0.05)Conclusion Laparoscopic transab-dominal cervical cerclage has lower premature delivery rate,higher full-term delivery rate than transvaginal cervical cer-clage.
国家科技期刊平台
NSTL
万方数据
