Pawłowicz Paweł, Ordon Wojciech, Malinowski Andrzej
Department of Surgical and Endoscopic Gynecology, Polish Mother's Memorial Hospital-Research Institute, Lodz, Poland.
Ginekol Pol. 2009 Dec;80(12):949-52.
Cervical incompetence is characterized by painless cervical dilation in the second or early in the third trimester with prolapsed membranes and expulsion of an immature fetus. Cervical cerclage performed during pregnancy is a typical and effective treatment of cervical incompetence. In case of previously failed cervical cerclages or other cervix malformations the procedure of abdominal cerclage in prepregnancy period can be considered as an option to help keep a pregnancy. In the following work we present two cases in which laparoscopic abdominal cervical cerclage was performed before conception. Laparoscopic cervical cerclage is a less invasive technique with acceptable outcome, that could replace the traditional laparotomy technique.
宫颈机能不全的特征是在妊娠中期或晚期早期出现无痛性宫颈扩张，伴有胎膜脱垂和未成熟胎儿排出。孕期进行宫颈环扎术是治疗宫颈机能不全的一种典型且有效的方法。对于先前宫颈环扎术失败或存在其他宫颈畸形的情况，孕前进行腹式宫颈环扎术可作为帮助维持妊娠的一种选择。在以下工作中，我们介绍两例在受孕前进行腹腔镜腹式宫颈环扎术的病例。腹腔镜宫颈环扎术是一种侵入性较小且效果可接受的技术，可替代传统的剖腹手术技术。
