紧急宫颈环扎术治疗早产38例临床分析

摘要

目的：探讨紧急宫颈环扎术在治疗早产中的临床价值。方法选取本院75例早产临产患者随机分成两组,试验组(A)38例：施行紧急宫颈环扎术联合宫缩抑制剂治疗；对照组(B)37例：单纯宫缩抑制剂治疗。记录两组延长妊娠时间,新生儿出生体重、存活率,手术并发症。结果 A组平均延长妊娠时间50.8 d,新生儿平均出生体重2090 g,35例孕妇获得存活新生儿；B组平均延长妊娠时间8.3 d,发生流产31例,新生儿平均出生体重1140 g,6例孕妇获得存活新生儿。结论紧急宫颈环扎术联合宫缩抑制剂在治疗早产临产的效果明显优于单纯药物抑制宫缩治疗,能有效延长妊娠时间,明显增加新生儿出生体重,提高围生儿的存活率。%Objective To investigate the clinical value of emergency cervical cerclage in the treatment of preterm birth. Methods In our hospital 75 cases of preterm labor were randomly divided into two groups. The test group (A) in 38 cases:Emergency cervical cerclage combined with tocolytic therapy;the control group (B) in 37 cases:Simple tocolytic therapy. Recording two groups of prolonged pregnancy. Neonatal birth weight. fraction surviving, livability, operation complications. Results A group of average prolong pregnancy 50.8 days. The average birth weight of newborns in 2090 g. 35 cases of pregnant women receive survival of newborn;B group of average prolong pregnancy 8.3 days. 31 cases of abortion. The average birth weight of newborns in 1140 g. 6 cases of pregnant women receive survival of newborn. Conclusion Emergency cervical cerclage combined with inhibitors of uterine contraction in the treatment of preterm labor are better than single drug tocolytic treatment and can effectively prolong the time of pregnancy, increased neonatal birth weight. improve perinatal outcomes.