标题：应激及紧急宫颈环扎术对双胎妊娠结局的影响

      作者：吴秀芬，姚娟娟，马文红，张冬雪    柳州市妇幼保健院妇科，广西 柳州 545001

      卷次： 2020年31卷18期

      【摘要】 目的 探讨应激及紧急宫颈环扎术对双胎妊娠临床结局的影响。方法 回顾性分析2016年6月至2019年1月在柳州市妇幼保健院妇科收治的11例孕中期双胎妊娠行应激及紧急宫颈环扎术患者的临床资料及妊娠结局。结果 11例患者均成功施行宫颈环扎术，术后延长孕周11~110 d，平均49.45 d，其中2例孕中期流产，胎儿无法存活，9例成功妊娠至晚孕期分娩成活胎儿，分娩孕周28+6~37+3周，>32周分娩率为41.45%。新生儿出生体质量1.0~2.4 kg，Apgar评分5~10分，新生儿成活率81.82% (18/22)。结论 应激及紧急宫颈环扎术可延长双胎妊娠宫颈机能不全患者的分娩孕周。
      【关键词】 应激及紧急宫颈环扎术；宫颈机能不全；双胎妊娠；早产；流产
      【中图分类号】 R714.1 【文献标识码】 A 【文章编号】 1003—6350（2020）18—2393—03

Effect of stress and emergency cervical cerclage on the outcome of twin pregnancy.
WU Xiu-fen, YAO Juan-juan,MA Wen-hong, ZHANG Dong-xue. Department of Gynaecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou545001, Guangxi, CHINA
【Abstract】 Objective To investigate the effect of stress and emergency cervical cerclage on the outcome oftwin pregnancy. Methods From June 2016 to January 2019, the clinical data and pregnancy outcomes of 11 patientswho admitted to Liuzhou Maternity and Child Healthcare Hospital with twin pregnancy undergoing stress and emergen-cy cervical cerclage in second trimester were analyzed retrospectively. Results All 11 patients underwent cervical cer-clage successfully. The gestational weeks were prolonged by 11-110 days after operation, with an average of 49.45 days.Among the patients, 2 cases suffered from abortion in the second trimester with no fetus survived, 9 patients succeededin pregnancy and delivered the surviving fetus in the late pregnancy. The gestational weeks were 28+6 to 37+3, and the de-livery rate of >32 weeks was 41.45%. The newborn's birth weight were 1.0-2.4 kg, Apgar score were 5-10, and the sur-vival rates of the newborn were 81.82%(18/22). Conclusion Stress and emergency cervical cerclage can prolong thedelivery gestational weeks of twin pregnancy patients with cervical incompetence.
      【Key words】 Stress and emergency cervical cerclage; Cervical incompetence; Twin pregnancy; Premature deliv-ery; Abortion·短篇论著·doi:10.3969/j.issn.1003-6350.2020.18.024基金项目：广西壮族自治区卫生计生委科研课题(编号：Z2016534)