宫颈机能不全环扎术的适应症与结果（作者译）
[Indications and results of cerclage in cervical incompetence (author's transl)].
作者信息
Ross H G, Lehmann V
出版信息
Med Klin. 1976 May 14;71(20):857-60.
The results of 79 cerclage operations in gestation are reported. The rate of abortion increased in cases of more severe symptomatics: firstly, without labour and bleeding: 83 p.c. successful operations; secondly, with labour: 77 p.c.; thirdly, bleeding and without labour: 70p.c.; and lastly, with labour and bleeding: 40p.c. Before treatment with tocolytic pharmaca was possible, the period of gestation time could not successfully be prolonged if labour had started. With tocolytic pharmaca 56p.c. patients of this group gave birth to a living child. The rate of premature children was 23p.c. Cerclage operations were most successful after the 25th week of gestation. When applied before the 16th week of gestation, the success rate was below 69p.c. Treatment with tocolytic pharmaca increased the indication for cerclage operations. Cerclage operations together with tocolytic treatment are indicated in cases where labour and bleeding occur in gestation.
本文报告了79例妊娠期宫颈环扎术的结果。症状越严重，流产率越高：首先，无宫缩及出血的情况下，手术成功率为83%；其次，有宫缩的情况下，成功率为77%；第三，有出血但无宫缩的情况下，成功率为70%；最后，有宫缩及出血的情况下，成功率为40%。在使用宫缩抑制剂治疗之前，如果已经开始宫缩，妊娠期无法成功延长。使用宫缩抑制剂后，该组56%的患者产下活婴。早产儿发生率为23%。宫颈环扎术在妊娠25周后最成功。在妊娠16周前进行手术，成功率低于69%。宫缩抑制剂治疗增加了宫颈环扎术的适应证。宫颈环扎术联合宫缩抑制剂治疗适用于妊娠期出现宫缩及出血的情况。
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