宫颈机能不全指导解读.pptVIP

Cerclage for the Management of Cervical Insufficiency Cervical insufficiency: definition The inability of the uterine cervix to retain a pregnancy in the absence of the signs and symptoms of clinical contractions, or labor, or both in the second trimester。 Uterine cervix Absence of the signs and symptoms Second trimester A short cervical length in the second trimester is not sufficient for the diagnosis. Cervical conization LEEP Mechanical dilation Obstetric lacerations Congenital müllerian anomalies Deficiencies in cervical collagen and elastin Utero exposure to diethylstilbestrol And so o