Ades Alex, Aref-Adib Mehrnoosh, Parghi Sneha, Hong Phoebe
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.
Aust N Z J Obstet Gynaecol. 2019 Jun;59(3):351-355. doi: 10.1111/ajo.12848. Epub 2018 Jul 9.
Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency.
This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women.
A retrospective observational study.
pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage.
the insertion of a laparoscopic transabdominal cerclage in the pregnancy.
neonatal survival, delivery of an infant at ≥34 weeks gestation and surgical morbidity were evaluated.
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.
Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. It requires the correct skill, expertise and patient selection.
经腹宫颈环扎术可降低宫颈机能不全女性早产的风险。
本研究评估了孕妇接受腹腔镜经腹宫颈环扎术后的结局。
一项回顾性观察研究。
2011年至2017年接受腹腔镜经腹宫颈环扎术的孕妇。符合条件的女性患有宫颈机能不全且不适合经阴道宫颈环扎术。
孕期行腹腔镜经腹宫颈环扎术。
评估新生儿存活率、孕34周及以上分娩情况和手术并发症。
19例孕期接受腹腔镜经腹宫颈环扎术的女性，妊娠6 - 11周时，围产期存活率为100%。无并发症发生。平均分娩孕周为37.1周。16名女性在34周后分娩。
腹腔镜经腹宫颈环扎术对于有不良产科史的女性是一种安全有效的手术。它需要正确的技术、专业知识和患者选择。
