摘要
目的探讨影响紧急宫颈环扎术预后的相关因素。方法选取2016年1月1日至2020年12月31日于南方医科大学附属深圳市妇幼保健院妇科行紧急宫颈环扎术患者51例作为研究对象,回顾性分析其一般资料及临床情况,根据不同分娩孕周分为A组(分娩孕周≥32周)、B组(分娩孕周<32周),比较及统计分析两组患者的年龄、孕次、流产次数、宫口开大、支原体感染、环扎孕周、术前术后白细胞计数、中性粒百分比、术后抗生素使用情况及新生儿情况。结果最终入组例数48例,A组28例,年龄(32.11±3.54)岁、孕次2.00(1.00,3.00)次、流产次数1(0,3)次,B组20例,年龄(32.15±4.17)岁、孕次2.00(1.00,3.00)次、流产次数0(0,2)次,两组比较差异均无统计学意义(均P>0.05)。A组宫口开大情况0.0(0.0,0.8)cm,小于B组[2.0(1.0,4.0)cm],A组缝扎孕周为(22.88±1.84)周,大于B组(21.00±2.66)周,A组术后并发症发生率为25.0%(7/28),低于B组的55.0%(11/20),两组比较差异均有统计学意义(均P<0.05);两组间支原体感染情况、术前及术后第2天白细胞计数、中性粒细胞百分比、术后抗生素使用情况,差异均无统计学意义(均P>0.05)。结论宫口开大程度、术后并发症发生情况是紧急宫颈环扎术预后的影响因素。
Objective To investigate the prognostic factors of emergency cervical ligation.Methods Fifty-one patients who underwent emergency cervical ligation at Shenzhen Maternity and Child Healthcare Hospital from January 1,2016 to December 31,2020 were selected as the research subjects,and their general information and clinical conditions were retrospectively analyzed.According to their gestational weeks at delivery,they were divided into group A(gestational weeks≥32 weeks)and group B(gestational weeks<32 weeks).The ages,gestational times,numbers of abortions,the widths of cervical canal,mycoplasma infection,gestational weeks of cervical ligation,preoperative and postoperative white blood cell counts,neutrophils percentages,postoperative antibiotic use,and neonatal situations were compared between the two groups.Results In the end,forty-eight patients were enrolled,including 28,who were(32.11±3.54)years old,had been pregnant 2.00(1.25,4.00)times,and had taken abortion 1(0,3)times,in group A and 20,who were(32.15±4.17)years old,had been pregnant 2.00(1.00,3.00)times,and had taken abortion 0(0,2)times,in group B,with no statistical differences between these two groups(all P>0.05).The width of cervical canal in group A was smaller than that in group B[0.0(0.0,0.8)cm vs.9.0(1.0,4.0)cm,P<0.05];the gestational weeks of ligation in group A was bigger than that in group B[(22.88±1.84)weeks vs.(21.00±2.66)weeks,P<0.05];the incidence of postoperative complications in group A was lower than that in group B[25.0%(7/28)vs.55.0%(11/20),P<0.05].There were no statistical differences in mycoplasma infection,white blood cell count,neutrophils percentages before and the next day after the operation,and postoperative antibiotic use between the two groups(all P>0.05).Conclusion The width of cervical canal and the incidence of postoperative complications are the influencing factors of the prognosis of emergency cervical ligation.
作者
巫旭珍
Wu Xuzhen(Department of Gynecology,Shenzhen Maternity and Child Healthcare Hospital,Southern Medical University,Shenzhen 518000,China)
出处
《国际医药卫生导报》
2021年第15期2373-2376,共4页
International Medicine and Health Guidance News
关键词
紧急宫颈环扎
预后因素
宫颈机能不全
Emergency cervical ligation
Prognostic factors
Cervical insufficiency
