国际妇产科学杂志 ›› 2021, Vol. 48 ›› Issue (1): 115-117.doi: 10.12280/gjfckx.20200643

• 产科生理及产科疾病 病例报告 • 上一篇    下一篇

双胎妊娠两次经阴道宫颈环扎成功分娩一例并文献复习

章师平, 张红(), 孙美果   

  1. 230011 合肥,安徽医科大学第四附属医院妇产科(章师平,张红);安徽医科大学第一附属医院妇产科(孙美果)
  • 收稿日期:2020-07-17 出版日期:2021-02-15 发布日期:2021-03-01
  • 通讯作者: 张红 E-mail:312129021@qq.com

Case Report of A Successful Delivery by Twin Pregnancy with Twice Vaginal Cervical Cerclages and Literature Review

ZHANG Shi-ping, ZHANG Hong(), SUN Mei-guo   

  1. Department of Obstertrics and Gynecology, The Fourth Affiliated Hospital of Anhui Medical University, Hefei 230011, China (ZHANG Shi-ping, ZHANG Hong); Department of Obstertrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China (SUN Mei-guo)
  • Received:2020-07-17 Published:2021-02-15 Online:2021-03-01
  • Contact: ZHANG Hong E-mail:312129021@qq.com

摘要:

宫颈机能不全是导致妊娠晚期反复流产和早产的主要原因之一。早产可增加围生期发病率与死亡率,给妊娠妇女及家庭带来严重心理和经济负担。目前在国内外,宫颈环扎术被推荐使用于单胎妊娠,对其在双胎妊娠中的应用报道较少,指征不明确。回顾分析1例双胎妊娠经2次宫颈环扎术获2名健康活婴的病例资料并进行文献复习,探讨宫颈环扎术在双胎妊娠中的应用。

关键词: 妊娠,双胎, 宫颈机能不全, 宫颈功能不全, 环扎术,宫颈, 生殖技术,辅助

Abstract:

Cervical insufficiency is one of the main causes of recurrent late abortions and premature births. Preterm birth can increase the rate of perinatal morbidity and mortality, which brings severe psychological and economic burden to pregnant women and their families. At present, cervical cerclage is recommended to be used in single pregnancy at home and abroad. However, there are few reports on its application in twin pregnancy, and the indications are not clear. In this paper, a case about the parturition of two healthy babies after twice cervical cerclages in twin pregnancy is reported and relevant literature are reviewed to explore the application of cervical ligation in twin pregnancy.

Key words: Pregnancy,twin, Cervical insufficiency, Uterine cervical incompetence, Cerclage,cervical, Reproductive techniques,assisted