摘要
目的:探究宫颈机能不全的明确诊断及治疗方式对妊娠结局造成的影响。方法:回顾性分析2013年1月~2016年5月临床诊断为宫颈机能不全患者256例,根据是否符合复核诊断标准分为准确诊断组(182例)和非准确诊断组(74例),分别根据治疗方法分为手术治疗组和保守治疗组,比较妊娠结局的差异。结果:手术治疗组足月率(50.26%)高于保守治疗组(19.40%),活产分娩率(81.48%)高于保守治疗组(56.72%),晚期流产率(18.52%)低于保守治疗组(43.28),差异具有统计学意义(P<0.05),两组早产发生率无明显差异(P>0.05);非准确诊断组中,手术治疗与保守治疗妊娠结局比较无明显差异(P>0.05),准确诊断组中,手术治疗足月率、活产分娩率高于保守治疗,晚期流产率低于保守治疗,差异具有统计学意义(P<0.05)。结论:明确诊断后给予宫颈环扎术治疗可明显改善妊娠结局。
Objective：To explore the effect of definitive diagnosis and treatment of cervical dysfunction on pregnancy outcome.Methods：A total of 256 patients with cervical dysfunction were analyzed retrospectively from January 2013 to May 2016.According to whether the diagnostic criteria were in accordance with the di- agnostic criteria,they were divided into two groups：the accurate diagnosis group （182 cases） and the non-ac- curate diagnosis group （74 cases）. According to the treatment method,they were divided into surgical treat- ment group and conservative treatment group, then compare the difference of pregnancy outcome.Results：The full-term rate （48.26%） was higher than that of the conservative treatment group （19.40%）,the rate of live birth （81.48%） was higher than that of the conservative treatment group （56.72%）,and the late abortion rate （18.52% （P〈0.05）.There was no significant difference in the incidence of preterm birth between the two groups （P 〉0.05）.In the accurate diagnosis group, the term rate of live operation and the rate of live births were higher than those of conservative treatment （P〉0.05）.In the accurate diagnosis group, the full- term delivery rate was higher than that of conservative treatment,and the late abortion rate was lower than that of conservative treatment, the difference was statistically significant （P 〈0.05）.Conclusion：The diagno- sis of cervical cerclage after treatment can obviously improve the outcome of pregnancy.
出处
《数理医药学杂志》
2017年第5期639-641,共3页
Journal of Mathematical Medicine
关键词
宫颈机能不全
妊娠结局
宫颈环扎术
cervical insufficiency
pregnancy outcome
cervical cerclage
