对既往经阴道宫颈环扎术失败的女性进行全面评估后行腹式宫颈环扎术。
Transabdominal cerclage after comprehensive evaluation of women with previous unsuccessful transvaginal cerclage.
作者信息
Debbs Robert H, DeLa Vega Guillermo A, Pearson Stephanie, Sehdev Harish, Marchiano Dominic, Ludmir Jack
机构信息
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA 19107, USA.
出版信息
Am J Obstet Gynecol. 2007 Sep;197(3):317.e1-4. doi: 10.1016/j.ajog.2007.06.060.
OBJECTIVE
The purpose of this study was to assess the outcome after transabdominal-cerclage placement during pregnancy in women with previous unsuccessful transvaginal cerclage.
STUDY DESIGN
We conducted a retrospective case series that described pregnancy outcome in women who were treated with transabdominal cerclage between 1994 and 2006.
RESULTS
Seventy-five women with negative evaluation for recurrent pregnancy loss and > or = 1 previous unsuccessful transvaginal cerclage procedures were treated with transabdominal cerclage. The median gestational age at the time of cerclage placement was 13 weeks, and the median gestational age at delivery was 36 weeks. Seventy-two women delivered after 24 weeks of gestation, and 3 women delivered < or = 24 weeks of gestation. The fetal-salvage after transabdominal cerclage was 96%.
CONCLUSION
Our findings suggest that, in women with a history of > or = 1 failed transvaginal cerclage, transabdominal cerclage is an effective procedure.
目的
本研究旨在评估既往经阴道宫颈环扎术失败的孕妇经腹宫颈环扎术后的结局。
研究设计
我们进行了一项回顾性病例系列研究，描述了1994年至2006年间接受经腹宫颈环扎术治疗的女性的妊娠结局。
结果
75例复发性流产评估为阴性且既往有≥1次经阴道宫颈环扎术失败的女性接受了经腹宫颈环扎术。环扎时的中位孕周为13周，分娩时的中位孕周为36周。72例女性在妊娠24周后分娩，3例女性在妊娠≤24周时分娩。经腹宫颈环扎术后的胎儿挽救率为96%。
结论
我们的研究结果表明，对于既往有≥1次经阴道宫颈环扎术失败史的女性，经腹宫颈环扎术是一种有效的手术方法。
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