宫颈球囊在瘢痕子宫再次妊娠促宫颈成熟中的临床效果

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摘要目的探讨宫颈球囊用于瘢痕子宫再次妊娠促宫颈成熟的临床应用安全性。方法2013年7月~2016年6月选择在邢台市人民医院进行瘢痕子宫再次妊娠孕妇118例，根据随机信封抽签原则分为观察组与对照组，各59例。照组给予缩宫素针治疗，观察组给予宫颈球囊治疗，对记录两组应用的有效性与安全性。结果观察组与对照组孕妇的年龄、孕龄、体重指数、羊水指数、宫颈Bishop评分等对比差异无统计学意义（P > 0.05）。观察组与对照组孕妇的总有效率分别为98.3%和88.1%，观察组高于对照组，差异有统计学意义（P ＜ 0.05）。观察组的新生儿体重与1 min新生儿Apagr评分分别为（3278.42±342.91）g和（9.23±0.28）分，对照组分别为（3231.40±401.49）g和（9.18±0.41）分，两组比较差异无统计学意义（P > 0.05）。观察组孕妇的第一、第二产程时间短于对照组，差异有统计学意义（P ＜ 0.05），自然分娩率高于对照组，差异有统计学意义（P ＜ 0.05）；同时观察组的羊水污染、软产道裂伤、产褥感染、产后出血等并发症发生率低于对照组，差异有统计学意义（P ＜ 0.05）。结论相对于缩宫素，宫颈球囊用于瘢痕子宫再次妊娠能更加有效发挥促宫颈成熟作用，对新生儿无明显负面影响，能缩短产程，提高自然分娩率，减少引产并发症的发生，值得进一步推广。

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	尹芳李金霞

关键词 ：缩宫素, 宫颈球囊, 瘢痕子宫, 促宫颈成熟, 并发症

Abstract：Objective To investigate the clinical effects of cervical balloon in the treatment of cervical pregnancy with scar uterus. Methods From July 2013 to June 2016, 118 pregnant women with uterine scar pregnancy were selected in Xingtai People′s Hospital and were equally divided into observation group and the control group accorded to the random envelope drawing principle, 59 women in each group. The observation group was given cervical balloon treatment, the control group was given oxytocin treatment, the effectiveness and safety of the two groups were recorded. Results There was no significant difference compared in age, gestational age, body mass index (BMI), amniotic fluid index and Bishop scores between the two groups (P > 0.05). The total effective rate of the observation group and the control group was 98.3% and 88.1%, respectively, the total effective rate of the observation group was significantly higher than that of the control group, and the differences were significantly (P ＜ 0.05). The neonatal weight and 1 min Apagr score in the observation group were (3278.42±342.91) g and (9.23±0.28) points, respectively, and the control group were (3231.40±401.49) g and (9.18±0.41) points, had no statistically significant difference between the two groups (P > 0.05). The first and second stage of labor times in the observation group were significantly shorten than the control group, and the differences were statistically significant (P ＜ 0.05); the natural childbirth rate in the observation group was significantly higher than the control group, and the differences were statistically significant (P ＜ 0.05); while the postpartum hemorrhage, puerperal infection, soft birth canal laceration, amniotic fluid contamination and other complications in the observation group were significantly lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Compared with oxytocin, cervical balloon for uterine scar pregnancy can play more effective role in promoting cervical ripening, it has no significant adverse effects on the newborn, it can shorten the production process, improve the rate of natural childbirth, reduce abortion complications, so it is worthy of further promotion.

Key words： Oxytocin Cervical balloon Scar uterus Cervical ripening Complication

基金资助:河北省邢台市科技计划项目（2017ZC117）。

引用本文:

尹芳李金霞. 宫颈球囊在瘢痕子宫再次妊娠促宫颈成熟中的临床效果[J]. 中国医药导报, 2018, 15(2): 75-78.
YIN Fang LI Jinxia. The clinical effects of cervical balloon in the treatment of cervical pregnancy with scar uterus. 中国医药导报, 2018, 15(2): 75-78.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2018/V15/I2/75

[1] Zhang H，Xu C，Zhang T，et al. Does Percutaneous Vertebroplasty or Balloon Kyphoplasty for Osteoporotic Vertebral Compression Fractures Increase the Incidence of New Vertebral Fractures?A Meta-Analysis [J]. Pain Physician，2017，20（1）：13-28.
[2] 罗霞，陈春来，周静，等.缩宫素、地诺前列酮栓及宫颈扩张球囊在妊娠晚期引产中的疗效比较[J].中国生化药物杂志，2016，36（4）：71-73.
[3] Ergun O，?覶eltik■i P，Güne■ Tatar ■，et al. Percutaneous thrombin injection treatment of a femoral artery pseudoaneurysm with simultaneous arterial balloon occlusion： Case report and review of the literature [J]. Turk Kardiyol Dern Ars，2016，44（8）：684-689.
[4] Teschner M. Evidence and evidence gaps in the treatment of Eustachian tube dysfunction and otitis media [J]. GMS Curr Top Otorhinolaryngol Head Neck Surg，2016，15（15）：5-12.
[5] Matano F，Mizunari T，Kominami S，et al. Retrograde suction decompression of a large internal carotid aneurysm using a balloon guide catheter combined with a blood-returning circuit and STA-MCA bypass： a technical note [J]. Neurosurg Rev，2016，12（16）：34-39.
[6] 崔艳双，吴星光，胡璇.宫颈扩张球囊用于足月妊娠促宫颈成熟和引产效果观察[J].浙江临床医学，2016，18（8）：1496-1497，1500.
[7] Andic C，Aydemir F，Kardes O，et al. Single-stage endovascular treatment of multiple intracranial aneurysms with combined endovascular techniques：is it safe to treat all at once? [J]. J Neurointerv Surg，2016，11（14）：745-749.
[8] Trestman EB，Garfein E，Ow T，et al. Carotid Reconstruction with Bovine Carotid Heterograft After En Bloc Resection of Squamous Cell Carcinoma with Direct Internal Carotid Invasion [J]. Ann Vasc Surg，2016，12（9）：1257-1262.
[9] Duro Gómez J，Garrido Oyarzún MF，Rodríguez Marín AB，et al. Vaginal misoprostol and cervical ripening balloon for induction of labor in late-term pregnancies [J]. J Obstet Gynaecol Res，2017，43（1）：87-91.
[10] 岑倩丽，吴言英，欧小燕，等.COOK宫颈扩张球囊联合缩宫素促进宫颈成熟和引产的临床观察[J].中国性科学，2016，25（7）：137-139.
[11] Pepper VK，Boomer LA，Thung AK，et al. Routine Bronchoscopy and Fogarty Catheter Occlusion of Tracheoesophageal Fistulas [J]. J Laparoendosc Adv Surg Tech A，2017，27（1）：97-100.
[12] Zeng R，Ye W，Liu C，et al. Application of physician-modified fenestrated stent graft in urgent endovascular repair of abdominal aortic aneurysm with hostile neck anatomy： Case report [J]. Medicine（Baltimore），2016，95（46）：5455-5459.
[13] 戴夏琳，文丽萍.双球囊促宫颈成熟效果及引产安全性分析[J].中国妇幼保健，2016，31（16）：3392-3394.
[14] Kim SH，Shin YB，Jang MH，et al. Development of a Novel Alarm System to Improve Adaptation to Non-invasive Ventilation in Patients With High Cervical Spinal Cord Injury [J]. Ann Rehabil Med，2016，40（5）：955-958.
[15] Park KY，Kim BM，Kim DJ. Preoperative Coiling of Coexisting Intracranial Aneurysm and Subsequent Brain Tumor Surgery [J]. Korean J Radiol，2016，17（6）：931-939.
[16] 彭阳春，李春红，牛金波.Cook球囊与缩宫素用于足月妊娠促宫颈成熟及其引产效果的观察[J].浙江创伤外科，2016，21（5）：867-868.
[17] Lang IM，Medda BK，Jadcherla SR，et al. Characterization and mechanisms of the pharyngeal swallow activated by stimulation of the esophagus [J]. Am J Physiol Gastrointest Liver Physiol，2016，311（5）：827-837.
[18] 李慧，周平，洪淑贞，等.宫颈球囊用于瘢痕子宫再次足月妊娠产妇促宫颈成熟的效果分析[J].中国计划生育学杂志，2015，23（7）：458-460，464.
[19] Park JW，Cheong JH，Choi KS，et al. Retrograde Stent-assisted Coil Embolization of Wide-neck or Branch-incorporated Posterior Communicating Artery Aneurysm [J]. J Cerebrovasc Endovasc Neurosurg，2016，18（2）：124-128.
[20] 韩俊，覃家雅.COOK宫颈扩张球囊用于足月妊娠引产的临床观察[J].中国微创外科杂志，2016，16（7）：597-600.
[21] 聂水珍，陈小茹，焦瑞平，等.Foley尿管用于足月妊娠促宫颈成熟及其引产效果的临床研究[J].中国医学创新，2017，14（13）：108-110.
[22] 周友芬，郭雅琴，马少群，等.导尿管、宫颈扩张球囊与米非司酮分别配伍米索前列醇在瘢痕子宫中期妊娠引产中促宫颈成熟的临床对比研究[J].中国医学创新，2017，14（18）：131-133.
[23] Matsuzaki S，Tanaka M，Kimura T. Response to 'Letter to "Cervical varix complicated by placenta previa：A case report and literature review"：A novel simple abdominal traction stitch （Matsubara） to hold the Bakri balloon' [J]. J Obstet Gynaecol Res，2016，42（11）：1627-1628.
[24] 聂爱宏，饶晓艳，杨春莲，等.双球囊导管用于足月妊娠促宫颈成熟及母婴结局对比研究[J].中国医学创新，2017， 14（25）：12-15.
[25] 何冰君，曹睿.剖宫产妇疼痛及产后康复的影响因素分析及临床干预[J].西部医学，2016，28（10）：1474-1477.