孕期腹腔镜经腹宫颈环扎术：单中心经验

Laparoscopic transabdominal cerclage in pregnancy: A single centre experience.

作者信息

Ades Alex, Aref-Adib Mehrnoosh, Parghi Sneha, Hong Phoebe

机构信息

Department of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Melbourne, Victoria, Australia.

Agora Centre for Women's Health, Epworth Hospital, Melbourne, Victoria, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2019 Jun;59(3):351-355. doi: 10.1111/ajo.12848. Epub 2018 Jul 9.

DOI:10.1111/ajo.12848

PMID:29984840

Abstract

BACKGROUND

Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency.

AIMS

This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women.

MATERIALS AND METHODS

A retrospective observational study.

PATIENTS

pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage.

INTERVENTION

the insertion of a laparoscopic transabdominal cerclage in the pregnancy.

MEASUREMENTS

neonatal survival, delivery of an infant at ≥34 weeks gestation and surgical morbidity were evaluated.

RESULTS

Of 19 women who underwent laparoscopic transabdominal cerclage in pregnancy, at 6-11 weeks gestation, the perinatal survival rate was 100%. There were no complications. The average gestational age at delivery was 37.1 weeks. Sixteen women delivered after 34 weeks.

CONCLUSIONS

Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. It requires the correct skill, expertise and patient selection.

摘要