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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

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突出的与可见的突起的胎儿膜对宫缺陷的结果产生不利影响

A Ocal¹, O Demirci, C Ozgokce

¹Department of Perinatology, Zeynep Kamil Women and Children's Diseases Training and Research Hospital affiliated with the University of Health Sciences, Istanbul, Turkey. aydin.ocal@saglik.gov.tr.

European review for medical and pharmacological sciences

|November 2, 2023

概括

在宫功能不充分的情况下,紧急 cerclage 可能会改善胎儿周围结果的胎儿膜 (PFM) 脱落. 虽然有利于延长怀孕,但对未来的家庭来说,关于风险和益处的详细咨询至关重要.

科学领域:

孕产妇和胎儿医学孕产妇和胎儿医学
产科产科产科产科产科
周围生理学周围生理学

背景情况:

宫缺陷对怀孕构成风险,特别是胎儿膜脱落 (PFM).
管理选项包括预期护理 (床上休息) 或紧急 cerclage.

研究的目的:

评估PFM对宫功能不充分的围产期结局的影响.
为了比较期望管理和紧急情况之间的结果.

主要方法:

对100名患有宫衰竭和PFM的孕妇进行了回顾性分析.
基于PFM可见性的分类 (外部骨头与阴道突出).
床上休息和紧急 cerclage 组之间的结果比较.

主要成果:

在59%的案例中,使用了紧急 cerclage.
32周后的分娩显示,无论如何管理,可见和突出的PFM的发病率相似.
对于突出的PFM,怀孕延长时间在 cerclage (42.3天) 与床上休息 (17.9天) 时显著增加.

结论:

紧急 cerclage 是可见 PFM 的一个可行的选择,提供延长怀孕时间和潜在的新生儿存活率.
对于突出的PFM来说,好处不那么明显.
围对32周后的分娩率没有显著影响,因此需要仔细讨论诸如早产并发症等风险.

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