Robichaux A G, Stedman C M, Hamer C
Department of Obstetrics and Gynecology, Ochsner Clinic, New Orleans, Louisiana.
Obstet Gynecol. 1990 Jul;76(1 Suppl):63S-66S.
Cervical cerclage is the traditional management of cervical incompetence. Uterine activity among these patients has never been studied. This retrospective report details the contraction frequency in 96 patients with cerclage who underwent daily home uterine activity monitoring. Twenty-three percent (22) developed preterm labor and 12% (11) had preterm delivery related to failed tocolysis or rupture of the membranes. Uterine activity in the group who developed preterm labor was significantly greater than in those who labored at term. The objective contraction frequency data obtained by uterine activity monitoring are of clinical significance to physicians managing such patients.
宫颈环扎术是治疗宫颈机能不全的传统方法。此前从未对这些患者的子宫活动情况进行过研究。这份回顾性报告详细介绍了96例行宫颈环扎术并在家中进行每日子宫活动监测患者的宫缩频率。23%（22例）发生早产，12%（11例）因宫缩抑制失败或胎膜破裂而早产。发生早产的患者组子宫活动明显多于足月分娩的患者组。通过子宫活动监测获得的客观宫缩频率数据对治疗这类患者的医生具有临床意义。
