Brigham & Women's Hospital, Harvard Medical School, 75 Francis Street, CWN 3rd Floor, MIGS Office, Boston, MA 02115, USA; Division of Minimally Invasive Gynecology, Harvard Medical School, 75 Francis Street, CWN 3rd Floor, MIGS Office, Boston, MA 02115, USA.
Brigham & Women's Hospital, Harvard Medical School, 75 Francis Street, CWN 3rd Floor, MIGS Office, Boston, MA 02115, USA; Division of Minimally Invasive Gynecology, Harvard Medical School, 75 Francis Street, CWN 3rd Floor, MIGS Office, Boston, MA 02115, USA.
Obstet Gynecol Clin North Am. 2022 Jun;49(2):287-297. doi: 10.1016/j.ogc.2022.02.010.
Cervical insufficiency is a well-established cause of infant morbidity and mortality. Recommended treatment of cervical insufficiency includes a procedure in which a stitch, termed a cerclage, is placed around the cervix to keep it closed. Abdominal cerclage is the preferred approach for patients with refractory cervical insufficiency or anatomic limitations to vaginal cerclage placement. Laparoscopic abdominal cerclage has many benefits over an open approach and has been increasingly performed over the last 20 years due to surgeon skillset and improved neonatal survival compared with repeat vaginal cerclage. Laparoscopic abdominal cerclage is a highly effective, well-tolerated surgical treatment of selected patients.
宫颈机能不全是导致婴儿发病率和死亡率的一个重要原因。推荐的宫颈机能不全的治疗方法包括一种手术，即环扎术，在宫颈周围放置缝线以保持其闭合。对于难治性宫颈机能不全或阴道环扎术放置有解剖学限制的患者，腹式环扎术是首选方法。与重复阴道环扎术相比，腹腔镜腹式环扎术具有许多优势，由于外科医生的技能和新生儿存活率的提高，在过去 20 年中越来越多地应用于该手术。腹腔镜腹式环扎术是一种针对特定患者的高效、耐受良好的手术治疗方法。
