腹腔镜下宫颈环扎术治疗非孕期宫颈机能不全临床研究.docVIP

腹腔镜下宫颈环扎术治疗非孕期宫颈机能不全临床研究 　　摘要：目的 探讨腹腔镜下宫颈环扎术对非孕期宫颈机能不全患者的的安全性和可行性。方法 选择2015年1月～2016年6月于?|莞市人民医院收治的宫颈机能不全者50例，随机分为观察组和对照组，各25例。观察组患者采用腹腔镜下官颈环扎术，对照组采用经阴道宫颈环扎术。比较两组患者手术持续时间、住院时间、术中出血量、24 h内肛门排气情况及并发症。结果 观察组患者手术时间（28±6）min及住院时间（3.6±0.7）d显著短于对照组[（33±7）min，（6.3±0.6）d]。术中的出血量（20±5）ml显著少于对照组（36±6）ml。观察组患者24 h内肛门排气早于对照组。两组患者术后并发症差异无统计意义。结论 腹腔镜下宫颈环扎术治疗非孕期官颈机能不全安全有效，且手术时间和住院时间较短，术中出血量较少，值得临床推广应用。 　　关键词：腹腔镜下宫颈环扎术； 宫颈机能不全；非孕期 　　中图分类号：R713.4 文献标识码：A 文章编号：1006-1959（2017）26-0037-02 　　Abstract：Objective To investigate the safety and feasibility of laparoscopic cervical cerclage in non-pregnant patients with cervical incompetence.Methods 50 patients with cervical insufficiency admitted in Dongguan peoples hospital from January 2015 to June 2016 were randomly divided into observation group and control group，with 25 cases in each group.The patients in the observation group underwent laparoscopic cerclage and the control group received vaginal cervical cerclage.The duration of operation，length of hospital stay，intraoperative blood loss，anal exhaust and complications during 24 h were compared between the two groups.Results The operation time（28±6）min and hospital stay（3.6±0.7）d in observation group was significantly shorter than that in control group[（33±7）min，（6.3±0.6）d].Intraoperative bleeding（20±5）ml was significantly less than the control group（36± 6）ml.In the observation group，the anus exhaust was earlier than the control group within 24 h.There was no significant difference in postoperative complications between the two groups.Conclusion Laparoscopic cervical cerclage is safe and effective in the treatment of non-pregnant cervical incompetence，and the operation time and hospitalization time are short，and the blood loss in operation is less，which is worthy of clinical application. 　　Key words：Laparoscopic cervical cerclage；Cervical insufficiency；Non-pregnancy 　　宫颈机能不全（Cervical incompetence，CI）是产科常见疾病之一，是导致晚期流产及早产的重要原因[1]。目前缺乏关于宫颈机能不全的确切病因，主要有宫颈先天性的发育不全和宫颈受到后天性的损伤之分[2]。当前在宫颈机能