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首页> 外文期刊>Journal of Clinical Medicine Research >Evaluation of Maternal-Fetal Outcomes After Emergency Vaginal Cerclage Performed With Shirodkar-McDonald Combined Modified Technique
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Evaluation of Maternal-Fetal Outcomes After Emergency Vaginal Cerclage Performed With Shirodkar-McDonald Combined Modified Technique

机译：Shirodkar-McDonald联合改良技术对急诊阴道环扎后母婴结局的评估

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Background: Several techniques of emergency vaginal cerclage have been proposed in case of unexpected and abrupt cervical incompetence (CI), in order to prolong the pregnancy as much as possible and to reduce the adverse maternal-fetal outcomes. The aim of our study was to evaluate the effectiveness of emergency cervical cerclage, performed with the combined modified Shirodkar-McDonald technique.Methods: We selected 12 cases of emergency vaginal cerclage, performed between January 1, 2008 and June 30, 2013. The age of the patients was between 20 and 38 years (mean 29.0 ± standard deviation (SD) 5.69), parity between 0 and 2 (mean 0.7 ± SD 0.65), and gestational age at the time of admission ranged between 17 and 26 weeks (mean 21.0 ± SD 3.44). In all these cases, we used a combined modified Shirodkar-McDonald technique to perform the procedure.Results: The neonatal survival rate was 83.3%. The cesarean section rate was 16.7%. The average pregnancy prolongation was 89.9 days, higher than that reported for other studies in the literature.Conclusions: We can assume that the emergency vaginal cerclage performed with the combined modified Shirodkar-McDonald technique is the best option of surgical therapy for the treatment of unexpected and abrupt CI.J Clin Med Res. 2015;7(5):319-323doi: http://dx.doi.org/10.14740/jocmr2108w
机译：背景：为防止意外和突然的宫颈功能不全（CI），已提出了几种紧急阴道环扎术的技术，以尽可能延长妊娠时间并减少不良的母婴结局。我们的研究目的是评估采用改良的Shirodkar-McDonald联合技术进行的紧急宫颈环扎术的有效性。方法：我们选择了2008年1月1日至2013年6月30日进行的12例紧急阴道环扎术。的患者年龄在20至38岁之间（平均29.0±标准差（SD）5.69），胎次在0至2之间（平均0.7±SD 0.65），入院时的胎龄在17至26周之间（平均21.0±SD 3.44）。在所有这些情况下，我们均采用改良的Shirodkar-McDonald组合技术进行了手术。结果：新生儿存活率为83.3％。剖宫产率为16.7％。结论：我们可以假设，结合改良的Shirodkar-McDonald技术进行的紧急阴道环扎术是外科手术治疗意外情况的最佳选择，平均妊娠时间为89.9天，高于文献中其他研究的报道。突然间CI.J Clin Med Res。 2015; 7（5）：319-323doi：http://dx.doi.org/10.14740/jocmr2108w

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