Başbuğ Alper, Doğan Ozan
Düzce University Faculty of Medicine Hospital, Clinic of Obstetrics and Gynecology, Düzce, Turkey.
University of Health Sciences, İstanbul Şisli Hamidiye Etfal Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.
Turk J Obstet Gynecol. 2019 Mar;16(1):1-6. doi: 10.4274/tjod.galenos.2018.33410. Epub 2019 Mar 27.
To compare the maternal and neonatal outcomes of patients with emergency versus therapeutic cerclage.
The study included 38 female patients who underwent cervical cerclage using the modified Shirodkar method in the Obstetrics and Gynecology Clinics of Düzce University Medical Faculty Hospital and Düzce Atatürk State Hospital.
The operating time for the emergency cerclage group was significantly longer than that of the therapeutic group (30.40 minutes vs 19.85 minutes, p=0.001). Following the cerclage procedure, the cervical length was longer in the therapeutic cerclage group [29.90 millimeters (mm) vs. 22.45 mm, p=0.001]. The cerclage to birth interval was also longer in the therapeutic group (91 vs. 138 days).
In comparison with therapeutic cerclage, the total duration of pregnancy after emergency cerclage is shorter, and newborns have a greater need for intensive care. Both methods, however, protect against advanced prematurity, which causes neonatal loss.
比较紧急宫颈环扎术与治疗性宫颈环扎术患者的母儿结局。
本研究纳入了38例在杜兹大学医学院医院妇产科诊所和杜兹阿塔图尔克州立医院采用改良Shirodkar方法行宫颈环扎术的女性患者。
紧急环扎组的手术时间显著长于治疗组（30.40分钟对19.85分钟，p = 0.001）。环扎术后，治疗性环扎组的宫颈长度更长[29.90毫米（mm）对22.45 mm，p = 0.001]。治疗组的环扎至分娩间隔也更长（91天对138天）。
与治疗性宫颈环扎术相比，紧急宫颈环扎术后的总妊娠时间较短，新生儿更需要重症监护。然而，两种方法均能预防导致新生儿死亡的晚期早产。
