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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Outcomes of ultrasound-indicated cerclage in twin pregnancies with a short cervical length
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Outcomes of ultrasound-indicated cerclage in twin pregnancies with a short cervical length

机译：颈部长度短妊娠的超声指示塞列德的结果

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ObjectiveTo investigate the outcomes of ultrasound-indicated cerclage in dichorionic-diamniotic (DCDA) twin pregnancies with a short cervical length.Materials and methodsThis was a retrospective cohort study of DCDA twin pregnancies with a short cervical length (≤25?mm) from January 2000 to July 2017 to compare maternal and neonatal outcomes. Additional sub-analysis was performed by dividing the patients into two subgroups by a cervical length ≤15?mm and between 16 and 25?mm.ResultsOne hundred and eight women were initially diagnosed with twin pregnancies and cervical insufficiency. After excluding cases not meeting the study criteria, 46 women were recruited for analysis, of whom 33 underwent ultrasound-indicated cerclage. The delivery age of the cerclage group was significantly later than the non-cerclage group (34.85?±?3.91 versus 31.08?±?5.25 weeks,p?=?0.011), and the latency was significantly longer in the cerclage group than in the non-cerclage group (86.09?±?41.32 versus 52.31?±?33.24 days,p?=?0.014). Sub-analysis revealed that these benefits were significant in the subgroup of a cervical length ≤15?mm. Both first twin (twin A) and second twin (twin B) had a significantly decreased rate of neonatal intensive care unit admission in the cerclage group. However, twin A had more promising outcomes with significantly decreased rates of neonatal respiratory distress syndrome (6.7% versus 50.0%,p?=?0.004) and sepsis (0% versus 25.0%,p?=?0.019).ConclusionUltrasound-indicated cerclage in DCDA twin pregnancies can decrease preterm birth and prolong the latency. It also decreases neonatal morbidity, and is especially beneficial for twin A.
机译：ObjectiveTo调查二核 - 衍生（DCDA）双胞胎妊娠中的超声指示的塞尔氏菌，短暂的宫颈长度。材料和方法是从2000年1月的颈部长度（≤25Ωmm）短的颈部妊娠的回顾性队列研究到2017年7月，比较母亲和新生儿结果。通过将患者除以颈部长度≤15Ωmm，16至25次递分成两个亚组进行额外的子分析。百分之百和八个女性最初被诊断出患有双胞胎妊娠和宫颈不足。除非案件在不符合研究标准后，招募了46名女性进行分析，其中33名明显显示的塞尔奇。 CERCLACE组的递送年龄明显高于非CERCLACE组（34.85〜±3.91与31.08（31.08），±5.25周，P？= 0.011），并且在CERCRACE组中延迟明显更长非CERCLACE组（86.09？±41.32与52.31？±33.24天，p？= 0.014）。次分析显示，这些益处在宫颈长度≤15Ωmm的亚组中是显着的。首先是双胞胎（Twin A）和第二间双胞胎（Twin B）在Cerclage组中具有显着降低的新生儿重症监护室入学率。然而，Twin A对新生儿呼吸窘迫综合征的速度显着降低了更高的结果（比率为50.0％，p？= 0.004）和败血症（0％对25.0％，p？= 0.019）。Conclusionultrasound指示的Cerlage在DCDA双床妊娠可以降低早产并延长延迟。它还降低新生儿发病率，对双A特别有益。

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