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子宫托用于治疗宫颈机能不全和预防早产。

Pessary use for the treatment of cervical incompetence and prevention of preterm labour.

作者信息

Kimber-Trojnar Zaneta, Patro-Małysza Jolanta, Leszczyńska-Gorzelak Bożena, Marciniak Beata, Oleszczuk Jan

机构信息

Department of Obstetrics and Perinatology, Medical University of Lublin, Jaczewskiego 8, PL 20-954 Lublin, Poland.

出版信息

J Matern Fetal Neonatal Med. 2010 Dec;23(12):1493-9. doi: 10.3109/14767051003678093. Epub 2010 Mar 24.

Abstract

OBJECTIVE

To evaluate the efficacy and safety of polyvinyl chloride pessary in patients with cervical incompetence or at risk of preterm labour.

METHODS

Study was conducted on 56 pregnant women who were treated with pessary and delivered in the Department of Obstetrics and Perinatology in Lublin during a half-year period. Statistical evaluation included Spearman correlation analysis and Wilcoxon signed-rank test.

RESULTS

The mean gestational age at pessary insertion was 23 weeks gestation. Pessary was electively removed after 37 weeks gestation. The mean interval between pessary insertion and delivery was 13 weeks, the mean gestational age at delivery 38.3 weeks and birth weight was 3255 g. Two (3.6%) women delivered before 34 weeks. A total of 58 live infants was born. No significant complications that could be attributed to pessary use were observed.

CONCLUSIONS

Pessary may be useful in women with cervical incompetence or at risk of preterm labour.

摘要

目的

评估聚氯乙烯子宫托在宫颈机能不全或有早产风险患者中的疗效及安全性。

方法

对56例在半年期间接受子宫托治疗并在卢布林妇产科分娩的孕妇进行研究。统计评估包括Spearman相关性分析和Wilcoxon符号秩检验。

结果

放置子宫托时的平均孕周为23周。妊娠37周后选择性取出子宫托。放置子宫托至分娩的平均间隔时间为13周,平均分娩孕周为38.3周,出生体重为3255克。两名(3.6%)妇女在34周前分娩。共出生58名活婴。未观察到可归因于使用子宫托的明显并发症。

结论

子宫托可能对宫颈机能不全或有早产风险的妇女有用。

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