宫颈锥切术后宫颈环扎术对女性妊娠结局的影响。
The effect of cervical cerclage on pregnancy outcomes in women following conization.
作者信息
Rafaeli-Yehudai Tal, Kessous Roy, Aricha-Tamir Barak, Sheiner Eyal, Erez Offer, Meirovitz Michai, Mazor Moshe, Weintraub Adi Y
机构信息
Department of Obstetrics and Gynecology, Soroka University Medical Center , Beer-Sheva , Israel.
出版信息
J Matern Fetal Neonatal Med. 2014 Oct;27(15):1594-7. doi: 10.3109/14767058.2013.871254. Epub 2014 Mar 4.
OBJECTIVES
To determine the effect of cervical cerclage on obstetrical complications and perinatal outcomes of patients following conization.
DESIGN
A retrospective population based cohort study.
SETTING
Tertiary academic medical center that covers all the deliveries of the region.
POPULATION
All patients with previous cervical conization who delivered between the years 1994-2011.
METHODS
A retrospective population based study.
MAIN OUTCOME MEASURES
The effect of cerclage placement on the rate of preterm birth.
RESULTS
During the study period there were 109 deliveries of patients following a cervical conization. Cervical cerclage was placed in 22 deliveries that served as the study group and the rest (n = 87) served as the comparison group. The rate of early preterm delivery (PTD; <34 weeks) was significantly higher in women who had a cerclage. In a logistic regression model, cerclage was found to be an independent risk factor for early PTD.
CONCLUSION
Cerclage is an independent risk factor for early PTD In patients who had a conization due to CIN.
目的
确定宫颈环扎术对锥切术后患者产科并发症及围产期结局的影响。
设计
一项基于人群的回顾性队列研究。
背景
覆盖该地区所有分娩病例的三级学术医疗中心。
研究对象
1994年至2011年间分娩的所有既往有宫颈锥切术史的患者。
方法
一项基于人群的回顾性研究。
主要观察指标
环扎术对早产率的影响。
结果
在研究期间，有109例宫颈锥切术后患者分娩。22例分娩患者接受了宫颈环扎术，作为研究组，其余（n = 87）作为对照组。接受环扎术的女性早期早产（PTD；<34周）率显著更高。在逻辑回归模型中，发现环扎术是早期PTD的独立危险因素。
结论
对于因宫颈上皮内瘤变（CIN）而行锥切术的患者，环扎术是早期PTD的独立危险因素。
Zotero 插件