Quaas L, Hillemanns H G, du Bois A, Schillinger H
Universitäts-Frauenklinik Freiburg.
Geburtshilfe Frauenheilkd. 1990 Jun;50(6):429-33. doi: 10.1055/s-2008-1026276.
During 1986-1988, the Arabin-cerclage pessary was used alternatively to surgical cerclage in 58 patients for prophylactic and in 44 cases of therapeutic indications. In 5 additional patients, the pessary was applied instead of emergency cerclage. The advantages of the cerclage pessary compared to other rigid pessary types, are based on its flexibility and adjustment to the anatomic conditions of vagina and cervix. The bowl-shaped pessary is inserted with the curvature upwards and the cervix is fixed in the central opening of the cerclage pessary. Thus a constriction, reconfiguration, and elongation of the incompetent cervix is obtained as evidenced by ultrasonography. The only side effect of the pessary treatment is an increase in cervical secretion and subsequent vaginal discharge. No infectious complications occurred. In 92% of the treated gravidae the cerclage pessary could be removed after the 36th week of gestation. Cerclage pessary can be recommended as a favourable alternative to surgical procedures as prophylactic or therapeutic approach, reducing surgical treatment significantly to less than 0.5%.
在1986年至1988年期间，58例患者交替使用阿拉伯式宫颈环扎子宫托进行预防性治疗，44例用于治疗性指征。另外5例患者使用子宫托代替紧急宫颈环扎术。与其他刚性子宫托类型相比，宫颈环扎子宫托的优势在于其灵活性以及对阴道和宫颈解剖条件的适应性。碗形子宫托以曲率向上的方式插入，宫颈固定在宫颈环扎子宫托的中央开口处。超声检查证实，由此可使功能不全的宫颈出现收缩、重塑和延长。子宫托治疗的唯一副作用是宫颈分泌物增加及随后的阴道分泌物增多。未发生感染并发症。92%接受治疗的孕妇在妊娠36周后可取出宫颈环扎子宫托。宫颈环扎子宫托可作为手术的一种良好替代方法，用于预防性或治疗性处理，可将手术治疗显著减少至低于0.5%。
