Wang Sheng, Feng Ling
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Int J Gynaecol Obstet. 2017 Oct;139(1):9-13. doi: 10.1002/ijgo.12244. Epub 2017 Jul 6.
To compare maternal and perinatal outcomes after emergency cerclage with those after elective cerclage.
In a retrospective review, data were assessed from women with a viable singleton pregnancy who underwent elective or emergency cerclage for cervical insufficiency at the Tongji Hospital, Wuhan, China, between January 2010 and July 2015. Subgroup analyses based on cervical length (CL; ≤15, 15-25, and 25-30 mm) were also conducted among women undergoing emergency cerclage.
In total, 68 women underwent elective cerclage and 53 underwent emergency cerclage. The suture-to-delivery interval was significantly longer in the elective group (19.17 ± 5.86 weeks) than in the emergency group (11.29 ± 7.27 weeks; P<0.001). There was no difference between the elective and emergency groups in mean pregnancy length at delivery, frequency of Apgar score below 7 at 5 minutes (live births only), or birth weight (live births only). An inverse trend in the degree of CL shortening with pregnancy outcomes was observed; women with a CL of 25-30 mm had the best outcomes.
Pregnancy outcomes were similar after emergency and elective cerclage. There was an inverse trend in the degree of CL shortening with pregnancy outcomes in the emergency cerclage group, with better outcomes observed for women with longer CL.
比较紧急宫颈环扎术与择期宫颈环扎术后的孕产妇及围产期结局。
在一项回顾性研究中，对2010年1月至2015年7月在中国武汉同济医院因宫颈机能不全接受择期或紧急宫颈环扎术的单胎存活妊娠女性的数据进行评估。在接受紧急宫颈环扎术的女性中，还根据宫颈长度（CL；≤15、15 - 25和25 - 30 mm）进行了亚组分析。
共有68名女性接受了择期宫颈环扎术，53名接受了紧急宫颈环扎术。择期组的缝线至分娩间隔时间（19.17 ± 5.86周）显著长于紧急组（11.29 ± 7.27周；P<0.001）。在分娩时的平均妊娠时长、5分钟时Apgar评分低于7的频率（仅活产儿）或出生体重（仅活产儿）方面，择期组和紧急组之间没有差异。观察到CL缩短程度与妊娠结局呈相反趋势；CL为25 - 30 mm的女性结局最佳。
紧急宫颈环扎术和择期宫颈环扎术后的妊娠结局相似。在紧急宫颈环扎术组中，CL缩短程度与妊娠结局呈相反趋势，CL较长的女性结局更好。
