Wierzchowska-Opoka Magdalena, Kimber-Trojnar Żaneta, Leszczyńska-Gorzelak Bożena
Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin, Poland.
J Clin Med. 2021 Mar 18;10(6):1270. doi: 10.3390/jcm10061270.
Despite the progress of medicine in the last decades, recurrent pregnancy loss, premature birth, and related complications are still a vast problem. The reasons for recurrent pregnancy loss and preterm delivery are diverse and multifactorial. One of the main reasons for these complications is cervical insufficiency, which means that the cervix is weak and unable to remain closed until the date of delivery. It manifests as painless softening and shortening of the cervix without contractions. The aim of the study was to review the available literature on rescue sutures, which are an emergency treatment in pregnancies with premature cervical dilatation and protrusion of the fetal membranes in the second trimester of pregnancy. This review confirms that emergency cerclage reduces the rate of preterm birth in patients with advanced cervical insufficiency. This procedure prolongs gestational age and improves the chances of survival of the newborn without increasing the risk of chorioamnionitis and preterm premature rupture of membranes.
尽管在过去几十年医学取得了进步，但复发性流产、早产及相关并发症仍然是一个重大问题。复发性流产和早产的原因多种多样且涉及多方面因素。这些并发症的主要原因之一是宫颈机能不全，即宫颈薄弱，在分娩日期前无法保持闭合。其表现为宫颈无痛性软化和缩短且无宫缩。本研究的目的是回顾关于救援缝线的现有文献，救援缝线是妊娠中期宫颈过早扩张和胎膜突出的紧急治疗方法。该综述证实，紧急宫颈环扎术可降低宫颈机能不全晚期患者的早产率。此手术可延长孕周并提高新生儿的存活几率，而不会增加绒毛膜羊膜炎和胎膜早破的风险。
