Blickstein I, Katz Z, Lancet M, Molgilner B M
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
Int J Gynaecol Obstet. 1989 Mar;28(3):237-42. doi: 10.1016/0020-7292(89)90724-8.
Thirty-two patients with cerclage were compared to 76 patients without cerclage. All pregnancies were complicated with preterm (less than 36 weeks) rupture of the membranes (PTROM). The management following removal of the cerclage was the same for the two groups and consisted of conservative treatment unless chorioamnionitis ensued. It was found that under similar conditions and treatment there was no significant difference between the outcomes of PTROM-complicated gestations with and without a cerclage. The low added risk of cerclage to PTROM should not deter its use when indicated.
将32例接受宫颈环扎术的患者与76例未接受宫颈环扎术的患者进行比较。所有妊娠均合并早产(小于36周)胎膜早破(PTROM)。两组在拆除宫颈环扎术后的处理相同,除非发生绒毛膜羊膜炎,否则均采用保守治疗。结果发现,在相似的条件和治疗下,合并PTROM的妊娠有无宫颈环扎术的结局之间无显著差异。当有指征时,宫颈环扎术对PTROM增加的风险较低,不应妨碍其使用。