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Abdominal cerclage after failed transvaginal cervical cerclage

机译：经阴道宫颈环扎术失败后的腹部环扎术

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摘要

This study aimed to evaluate the efficacy of abdominal cerclage by laparotomy and by laparoscopy among women who had failed transvaginal cerclage. We evaluated all women with cervical insufficiency that underwent abdominal cerclage between the years 2000 and 2010. Of a total of 20 patients, 12 patients underwent abdominal cerclage by laparoscopy and 8 others by laparotomy. The procedure was done in the pregnant state in four patients in the laparoscopy group and in all patients in the laparotomy group. There was no significant difference in the operative time between the laparoscopy and the laparotomy group. The median duration of hospitalization in the laparoscopy group was 6 h and in the laparotomy group was 96 h. Of 18 pregnancies, 16 resulted in a live birth (88.9%). Abdominal cerclage in women who have failed a transvaginal cervical cerclage is associated with a high live birth rate.
机译：这项研究旨在通过剖腹术和腹腔镜检查评估经阴道环扎失败的女性腹部环扎的疗效。我们评估了所有在2000年至2010年间进行了环扎的宫颈功能不全的妇女。在总共20例患者中，有12例通过腹腔镜进行了腹部环扎，另外8例通过了剖腹手术。腹腔镜检查组的四名患者和剖腹手术组的所有患者均在怀孕状态下进行了手术。腹腔镜检查和剖腹手术组之间的手术时间没有显着差异。腹腔镜检查组的平均住院时间为6小时，剖腹手术组的平均住院时间为96小时。在18例怀孕中，有16例活产（88.9％）。经阴道宫颈环扎失败的妇女的腹部环扎与活产率高有关。

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