To investigate the surgical indication of cervical cerclage for cervical incompetence
LI Xue
GAO Ai-hua
ZHANG Ying-chun
ZHANG Hong
Abstract：Objective To investigate the surgical indication of cervical cerclage for cervical incompetence.Methods From July 2009 to March 2015,a clinical randomized trial was carried out on 273 patients with cervical incompetence.In 178 cases,a McDonald suture was inserted,and in 95 cases,the pregnancy was managed expectantly.According to the number of previous second-trimester loss,the patients were divided into 4 groups,one spontaneous abortion:A1 group (cervical cerclage,n=76),B 1 group(expectant management,n=52);two spontaneous abortion:A2 group (cervical cerclage,n=88),B2 group(expectant management,n=40).Results Among the cervical cerclage group,the rate of live birth was 88.76％,and the rate of abortion was 11.2％.The live birth rate of expectant group was lower than that of the cerclage group.A significant difference was found in gestation age between A 1 group (35.4± 1.9)w and B 1 group (30.8±2.4)w,P＜0.05.Patients of A1 group could get heavier neonate birth weight than B1 group.There was significant difference between A2 group and B2 group in the gestational age,the incidence of preterm birth and neonate birth weight (P ＜ 0.05).Conclusion For cervical incompetence patients with recurrent second-trimester pregnancy miscarriage,cervical cerclage can effectively improve pregnancy outcome.
Keywords：cervical incompetencecervical cerclagesurgical indication
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 315-318 )