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缝合类型与超声引导下宫颈环扎术的疗效

Suture type and ultrasound-indicated cerclage efficacy.

作者信息

Berghella Vincenzo, Szychowski Jeff M, Owen John, Hankins Gary, Iams Jay D, Sheffield Jeanne S, Perez-Delboy Annette, Wing Deborah A, Guzman Edwin R

机构信息

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA 19107, USA.

出版信息

J Matern Fetal Neonatal Med. 2012 Nov;25(11):2287-90. doi: 10.3109/14767058.2012.688081. Epub 2012 May 14.

DOI:10.3109/14767058.2012.688081
PMID:22545593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5809126/
Abstract

OBJECTIVE

To assess whether type of suture material affects cerclage efficacy for preterm birth (PTB) prevention.

METHODS

Secondary analysis of a multicenter trial of ultrasound-indicated cerclage for short cervical length (CL), in which women with prior spontaneous PTB at 16-33 6/7 weeks, a singleton gestation and CL < 25 mm between 16-22 6/7 weeks, were randomized to McDonald cerclage or no cerclage. Outcomes of women who underwent cerclage were analyzed by type of suture material, comparing polyester braided thread (Mersilene™ or Ethibond™) to Mersilene tape™. Primary outcome was PTB < 35 weeks.

RESULTS

138 women underwent McDonald cerclage: 84 (61%) received polyester braided thread and 46 (33%) Mersilene tape™. Eight (6%) received monofilament suture and were excluded from analysis. Rates of PTB < 35 weeks were similar, 35% for polyester braided thread vs 24% for Mersilene tape™ (p = .24). Birth gestational age was also similar among the 2 groups (p = .18).

CONCLUSION

Type of suture material may not affect ultrasound-indicated cerclage efficacy in high-risk women with short CL, but further study is needed. Polyester braided thread (Mersilene™ or Ethibond™) and polyester braided Mersilene tape™ seem to have similar efficacy.

摘要

目的

评估缝合材料类型是否会影响预防早产（PTB）的宫颈环扎术效果。

方法

对一项关于超声提示宫颈短（CL）行宫颈环扎术的多中心试验进行二次分析，试验中孕16 - 33⁶/₇周有既往自发性PTB史、单胎妊娠且孕16 - 22⁶/₇周CL < 25mm的女性被随机分为接受麦克唐纳宫颈环扎术组或不进行宫颈环扎术组。对接受宫颈环扎术的女性的结局按缝合材料类型进行分析，将聚酯编织线（Mersilene™或Ethibond™）与Mersilene带™进行比较。主要结局为孕35周前早产。

结果

138名女性接受了麦克唐纳宫颈环扎术：84名（61%）接受聚酯编织线，46名（33%）接受Mersilene带™。8名（6%）接受单丝缝线，被排除在分析之外。孕35周前早产率相似，聚酯编织线组为35%，Mersilene带™组为24%（p = 0.24）。两组间出生孕周也相似（p = 0.18）。

结论

在CL短的高危女性中，缝合材料类型可能不影响超声提示的宫颈环扎术效果，但仍需进一步研究。聚酯编织线（Mersilene™或Ethibond™）和聚酯编织的Mersilene带™似乎具有相似的效果。

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本文引用的文献

1
Cerclage for short cervix on ultrasonography in women with singleton gestations and previous preterm birth: a meta-analysis.超声监测下短宫颈经宫颈环扎术治疗单胎妊娠且有既往早产史孕妇的Meta 分析。
Obstet Gynecol. 2011 Mar;117(3):663-671. doi: 10.1097/AOG.0b013e31820ca847.
2
Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length.多中心随机试验：针对孕中期宫颈长度缩短的高危女性采用宫颈环扎术预防早产
Am J Obstet Gynecol. 2009 Oct;201(4):375.e1-8. doi: 10.1016/j.ajog.2009.08.015.
3
Effect of 2 stitches vs 1 stitch on the prevention of preterm birth in women with singleton pregnancies who undergo cervical cerclage.在接受宫颈环扎术的单胎妊娠女性中，两针与一针预防早产的效果比较。
Am J Obstet Gynecol. 2008 Apr;198(4):396.e1-7. doi: 10.1016/j.ajog.2007.10.782. Epub 2008 Feb 21.
4
Expectant management compared with physical examination-indicated cerclage (EM-PEC) in selected women with a dilated cervix at 14(0/7)-25(6/7) weeks: results from the EM-PEC international cohort study.14(0/7)-25(6/7)周宫颈扩张的特定女性中期待治疗与体格检查指征性宫颈环扎术（EM-PEC）的比较：EM-PEC国际队列研究结果
Am J Obstet Gynecol. 2007 Nov;197(5):483.e1-8. doi: 10.1016/j.ajog.2007.05.041.
5
Cervical occlusion in women with cervical insufficiency: protocol for a randomised, controlled trial with cerclage, with and without cervical occlusion.宫颈机能不全女性的宫颈封堵术：一项关于宫颈环扎术（有无宫颈封堵）的随机对照试验方案
BJOG. 2007 May;114(5):649, e1-6. doi: 10.1111/j.1471-0528.2007.01250.x.
6
Cerclage for prevention of preterm birth in women with a short cervix found on transvaginal ultrasound examination: a randomized trial.经阴道超声检查发现宫颈短的女性行宫颈环扎术预防早产：一项随机试验。
Am J Obstet Gynecol. 2004 Oct;191(4):1311-7. doi: 10.1016/j.ajog.2004.06.054.
7
Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial.宫颈环扎术预防宫颈短的女性早产：随机对照试验
Lancet. 2004 Jun 5;363(9424):1849-53. doi: 10.1016/S0140-6736(04)16351-4.
8
Prophylactic cerclage for the prevention of preterm delivery.预防性宫颈环扎术预防早产。
Int J Gynaecol Obstet. 2004 Jun;85(3):283-4. doi: 10.1016/j.ijgo.2003.11.015.
9
Suture of the cervix for inevitable miscarriage.宫颈缝合术用于难免流产。
J Obstet Gynaecol Br Emp. 1957 Jun;64(3):346-50. doi: 10.1111/j.1471-0528.1957.tb02650.x.
10
Final results of the Cervical Incompetence Prevention Randomized Cerclage Trial (CIPRACT): therapeutic cerclage with bed rest versus bed rest alone.宫颈机能不全预防随机宫颈环扎试验（CIPRACT）的最终结果：治疗性宫颈环扎联合卧床休息与单纯卧床休息的比较。
Am J Obstet Gynecol. 2001 Nov;185(5):1106-12. doi: 10.1067/mob.2001.118655.