|
|
|
| Diagnosis and individualized treatment options of cervical incompetence |
| WANG Xiaodan1 JIANG Haili2 LI Jinghua3 WANG Yu1 |
1.Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China;
2.Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China;
3.Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China |
|
|
|
Abstract Cervical incompetence is one of the main causes of second trimester abortion and premature delivery, and it is also a difficult problem for Department of Obstetrics and Gynecology clinicians. Because of its complex etiology, the diagnosis lacks objective and unified criteria. In addition to conservative treatment, cervical cerclage is the most effective way. However, different surgical methods have their own advantages and disadvantages. Accurate selection of appropriate surgical methods is not only related to the success of pregnancy, but also can reduce the injury of pregnant women. Timely and accurate diagnosis of cervical incompetence and selection of individualized surgical methods according to different surgical indications are the key to a good outcome for pregnant women.
|
|
|
|
|
|
[1] American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No.142：cerclage for the management of cervical insufficiency [J]. Obstet Gynecol，2014，123（2 Pt 1）：372-379.
[2] 夏恩兰.孕前腹腔镜子宫颈峡部环扎术[J].中华腔镜外科杂志：电子版，2012，5（2）：86-89.
[3] 夏恩兰.《ACOG宫颈环扎术治疗宫颈功能不全指南》解读[J].国际妇产科学杂志，2016，43（6）：652-656.
[4] Brown R，Gagnon R，Delisle MF，et al. No.373-cervical insufficiency and cervical cerclage [J]. J Obstet Gynaecol Can，2019，41（2）：233-247.
[5] Esplin MS，Elovitz MA，lams JD，et al. Predictive accuracy of serial transvaginal cervical lengths and quantitative vaginal fetal fibronectin levels for spontaneous preterm birth among nulliparous women [J]. JAMA，2017，317（10）：1047-1056.
[6] 张立鹤，谢红宁，郑巧，等.E-cervix宫颈弹性成像辅助诊断非孕期宫颈功能不全的研究[J].中国临床新医学，2019，12（8）：817-821.
[7] Ocal FD，Cekmez Y，Erdogdu E，et al. The utility of cervical elastosonography in predictionof cervical insufficiency：cervical elast osonography and cervical insufficiency [J]. J Matern Fetal Neonatal Med，2015，28（7）：812-818.
[8] 李雪，张弘.宫颈功能不全环扎与早产[J].中国实用妇科与产科杂志，2018，34（2）：146-150.
[9] 卢澄钰，李兆生，王振宇，等.检测宫颈功能不全的方法及其循证评价[J].实用妇产科杂志，2018，34（5）：347-351.
[10] Steven G，Gabbe MD，Jennifer B，et al. Obstetrics：normal and problem pregnancies [M]. Landon：Elsevier，2016：596-614.
[11] 秦帆，张琴，杨丽华.宫颈功能不全的临床诊治进展[J].中国卫生标准管理，2019，10（6）：30-33.
[12] Enakpene CA，DiGiovanni L，Jones TN，et al. Cervical cerclage for singleton pregnant patients on vaginal progesterone with progressive cervical shortening [J]. Am J Obstet Gynecol，2018，219（4）：397.
[13] Berghella V，Owen J，Szychowski JM，et al. Outcomes with cerclage alone compared with cerclage plus 17α-hydroxyprogesterone caproate [J]. Obstet Gynecol，2017，129（2）：390-391.
[14] 胡娅莉.早产临床诊断与治疗指南（2014）[J].中华妇产科杂志，2014，49（7）：481-485.
[15] 何瑞银，凌爱华，王小兰.经阴道行宫颈环扎术治疗宫颈功能不全35例临床分析[J].中国临床研究，2018，31（4）：541-544.
[16] 姚书忠.宫颈功能不全诊治过程中存在的争议和思考[J].中国实用妇科与产科杂志，2017，33（1）：31-35.
[17] 韩欢，包怡榕，瞿晓娴，等.宫颈托预防早产的研究进展[J].国际妇产科学杂志，2015，42（6）：693-697.
[18] Goya M，De la Calle M，Pratcorona L，et al. Cervical pessary to prevent preterm birth in women with twin gestation and sonographic short cervix：a multicenter randomizedcontrolled trial（PECEP-Twins） [J]. Am J Obstet Gynecol，2016，214（2）：145-152.
[19] Jin Z，Chen L，Qiao D，et al. Cervical pessary for preventing preterm birth：a meta-analysis [J]. J Matern Fetal Neonatal Med，2017，20：1-7.
[20] Nicolaides KH，Syngelaki A，Poon LC，et al. Cervical pessary placement for prevention of preterm birth in unselected twin pregnancies：a randomized controlled trial [J]. Am J Obstet Gynecol，2016，214（1）：3-9.
[21] Barsky M，Kelley R，Bhora FY，et al. Customized pessary fabrication using three-dimensional printing technology [J]. Obstet Gynecol，2018，131（3）：493-497.
[22] 张瑞平，薛淑萍，张冰.宫颈环扎术对妊娠结局的影响分析[J].母婴世界，2017（5）：105，107.
[23] 张松英，尉敏龄，金晓莹.改良阴式子宫峡部环扎术的应用[J].国际妇产科学杂志，2016，43（6）：614-617.
[24] Farquharson RG.经腹宫颈环扎术-利物浦经验[J].国际妇产科学杂志，2016，43（6）：609-613，622.
[25] 赵玉婷，黄晓武，夏恩兰，等.孕前“极简式”腹腔镜下宫颈环扎术的临床应用[J].国际妇产科学杂志，2016，43（6）：634-637.
[26] 唐林，李克敏，罗国林.非孕期腹腔镜与孕期经阴道宫颈环扎术对治疗宫颈功能不全的疗效比较[J].西部医学，2018，30（5）：672-675，679.
[27] Shaltout MF，Maged AM，Elsherbini MM，et al. Laparoscopic transabdominal cerclage：new approach [J]. J Matern Fetal Neonatal Med，2017，30（5）：600-604.
[28] 高蕾，王祎祎，贾宗洋，等.“经阴道拆除式”腹腔镜下宫颈环扎术13例临床分析[J].现代妇产科进展，2019，28（6）：407-411，415.
[29] Menderes G，Clark M，Lindsay Clark-Donat，et al. Roboticassisted abdominal cerclage placement during pregnancy and its challenges [J]. J Minim Invasive Gynecol，2015， 22（5）：713-714.
[30] 蔡小兰，陈必良.达芬奇机器人辅助腹腔镜下孕期宫颈峡部环扎术1例报告[J].中国实用妇科与产科杂志，2018， 34（3）：349-350.
[31] 崔艳平，崔艳超.宫颈环扎术在双胎妊娠中的应用[J].海南医学，2019，30（20）：2665-2667.
[32] 陈伟萍，黄泳华.急诊宫颈环扎术在治疗双胎妊娠宫颈功能不全中的疗效[J].中国医学创新，2018，15（5）：13-17.
[33] Roman A，Rochelson B，Fox NS，et al. Efficacy of ultrasound-indicated cerclage in twin pregnancies [J]. Am J Obstet Gynecol，2015，212（6）：788.e1-788.e6. |
|
|
|
