Hysteroscopic Center, Fuxing Hospital, The Eighth Clinical Medical College, Capital Medical University, Beijing, China.
IVF Unit, Hammersmith Hospital, Imperial College, London, UK.
Best Pract Res Clin Obstet Gynaecol. 2019 Aug;59:89-97. doi: 10.1016/j.bpobgyn.2019.06.001. Epub 2019 Jul 4.
Cervical cerclage in women with twin pregnancy is not routinely indicated but appears to be beneficial in subjects with a history of preterm birth or very short cervix or dilated cervix. There is a paucity of literature data regarding transabdominal or laparoscopic cervical cerclage (LCC) in twin pregnancy. It is uncertain whether LCC is more effective than transvaginal cerclage. Our own experience of 24 cases of LCC in twin pregnancy showed encouraging results. Further, well-planned studies are required to answer whether, when, and how cervical cerclage should be performed in women with twin pregnancy.
宫颈环扎术在双胎妊娠妇女中并非常规应用，但对于有早产史或宫颈极短或扩张的患者似乎有益。关于双胎妊娠经腹或腹腔镜宫颈环扎术（LCC）的文献资料很少。尚不确定 LCC 是否比经阴道环扎术更有效。我们在 24 例双胎妊娠 LCC 中的经验表明结果令人鼓舞。此外，还需要进行精心设计的研究来回答在双胎妊娠妇女中何时以及如何进行宫颈环扎术。
