Deffieux Xavier, Faivre Erika, Senat Marie-Victoire, Gervaise Amélie, Fernandez Hervé
AP-HP, Department of Obstetrics, Gynecology and Reproductive Medicine, Antoine Béclère Hospital, Clamart, France.
J Obstet Gynaecol Res. 2011 Oct;37(10):1297-302. doi: 10.1111/j.1447-0756.2010.01514.x. Epub 2011 May 3.
To report pregnancy outcome following prophylactic transvaginal cervicoisthmic cerclage using a polypropylene sling in a population of high-risk pregnant women.
A retrospective study with a continuous series of 57 women presenting with prior failure of McDonald cerclage (n = 47) and/or absent portio-vaginalis of the cervix (n = 10).
Cervicoisthmic cerclage was performed between 12 and 16 weeks of gestation (median 14 weeks' gestation). No intraoperative complication occurred. Preterm labor treated with parenteral tocolysis occurred in 14 women (24%). Cesarean delivery was systematically performed. Median gestational age at delivery was 37.2 weeks' gestation (interquartile range: 36.5-38.0). Overall neonatal survival rate was 94%.
Transvaginal cervicoisthmic cerclage using a polypropylene sling may be considered as an effective alternative to the transabdominal cervicoisthmic cerclage in women presenting with previous cerclage failure.
报告在高危孕妇群体中使用聚丙烯吊带进行预防性经阴道宫颈峡部环扎术后的妊娠结局。
一项回顾性研究，连续纳入57例既往麦克唐纳环扎术失败（n = 47）和/或宫颈阴道部缺失（n = 10）的女性。
宫颈峡部环扎术在妊娠12至16周之间进行（中位妊娠周数为14周）。未发生术中并发症。14名女性（24%）出现经胃肠外使用宫缩抑制剂治疗的早产。均行剖宫产。分娩时的中位妊娠周数为37.2周（四分位间距：36.5 - 38.0）。总体新生儿存活率为94%。
对于既往环扎术失败的女性，使用聚丙烯吊带进行经阴道宫颈峡部环扎术可被视为经腹宫颈峡部环扎术的一种有效替代方法。
