Evaluation of outcomes after transabdominal cervicoisthmic cerclage

被引：9
作者：
Knudtson, Eric James [1 ]
Peck, Jennifer [2 ]
Skaggs, Valerie [2 ]
Elimian, Andrew [1 ]
Goodman, Jean [1 ]
Stanley, John [3 ]
机构：
[1] Univ Oklahoma, Hlth Sci Ctr, Dept Obstet & Gynecol, Div Maternal Fetal Med, Oklahoma City, OK 73126 USA
[2] Univ Oklahoma, Hlth Sci Ctr, Coll Publ Hlth, Dept Biostat & Epidemiol, Oklahoma City, OK 73126 USA
[3] Perinatal Ctr Oklahoma, Oklahoma City, OK USA
来源：
ARCHIVES OF GYNECOLOGY AND OBSTETRICS | 2010年 / 281卷 / 05期
关键词：
Cervical incompetence; Transvaginal cerclage; Transabdominal cerclage; FAILED TRANSVAGINAL CERCLAGE; CERVICAL CERCLAGE; PREVENTION; DELIVERY;
D O I：
10.1007/s00404-009-1206-x
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
To evaluate maternal and neonatal outcomes after transabdominal cerclage. Retrospective analysis of 15 patients receiving transabdominal cerclage. Using the patient's prior pregnancy as her own control, we assessed the effect of this procedure on gestational age and neonatal survival. All patients had experienced a prior pregnancy loss. Twelve out of the 15 patients (80%) had at least one prior failed vaginal cerclage. The median gestational age at surgery was 14 (range 12-16) weeks. There was one case of surgical site infection. After cerclage, the proportion of women delivered beyond 32 weeks was significantly higher [11/15 (73.3%) vs. 1/15 (6.7%), P = 0.0016], as was neonatal survival [12/15 (80%) vs. 1/15 (6.7%), P = 0.0009]. While transabdominal cerclage is a major surgical procedure, subsequent pregnancy outcomes were improved.
引用
收藏
页码：891 / 894
页数：4
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