Clinical Application of Emergency Cervical Cerclage Combined with Lidocaine Hydrochloridein Late Stage Miscarriage with Cervical Insufficiency

CHEN Huiqin; ZHANG Yu; ZHOU Pingping; XIE Na

doi:10.13919/j.issn.2095-6274.J02403113

Abstract：Objective To explore the effect of emergency cervical cerclage and Lidocaine Hydrochloride combined treatment on patients with advanced miscarriage due to cervical insufficiency.Methods 357 patients with advanced miscarriage due to cervical insufficiency were selected from the Obstetrics and Gynecology department of our hospital from December 2019 to December 2023.They were divided into the study group of 198 cases(emergency cervical cerclage combined with rituximab hydrochloride treatment)and the control group of 159 cases(conservative treatment with rituximab hydrochloride)based on whether surgery was performed or not.The gestational age and duration of delivery were compared and analyzed,and the Apgar score,birth weight,and adverse outcomes of newborns were followed up.Results After statistical analysis,the gestational age and duration of delivery in the study group were higher than those in the control group,and the difference was statistically significant(P＜0.05);After statistical analysis,the Apgar score and birth weight of newborns in the study group were higher than those in the control group,and the difference was statistically significant(P＜0.05);After treatment,6 cases(3.03％)of neonatal adverse outcomes in the study group were lower than that of the control group of 21 cases(13.21％),and the difference was statistically significant(P＜0.05).Conclusion The combination of emergency cervical cerclage and Lidocaine Hydrochloride treatment can improve the Apgar score of newborns,enhance body mass,reduce adverse neonatal outcomes,increase safety,and prolong gestational weeks in patients with late stage miscarriage due to cervical insufficiency.