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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >McDonald versus modified Shirodkar rescue cerclage in women with prolapsed fetal membranes
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McDonald versus modified Shirodkar rescue cerclage in women with prolapsed fetal membranes

机译：麦当劳与改良的Shirodkar救援Cercrage患有脱垂的胎膜

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Purpose: We compared the efficacy of modified Shirodkar and McDonald rescue cerclage techniques in women with singleton pregnancies. Methods: The study sample included 47 women who presented at two tertiary hospitals in Turkey from 2008 to 2017 and underwent rescue cerclage due to cervical incompetence and cervical dilatation with fetal membranes prolapsed into the vagina. The outcomes were compared by cerclage technique used, Shirodkar or McDonald. Results: The McDonald cerclage was applied in 27 cases, and modified Shirodkar cerclage in 20 cases. A longer cerclage-to-birth interval (83.8 +/- 37.6 vs. 63.7 +/- 38.9 days) and later gestational age at delivery (33 vs. 31 weeks) were observed with the Shirodkar cerclage, although these differences were not statistically significant (p = .08 and .63, respectively). Both groups had similar delivery rates after 28, 32, and 37 weeks (p = .20, .15, and .25, respectively), whereas the modified Shirodkar technique resulted in a higher rate of live births although these differences were not statistically significant (85% vs. 63%, p = .09). Conclusion: The effects of the McDonald and modified Shirodkar cerclage procedures on prolonging pregnancy and improving the live birth rate were similar. Therefore, either technique can be applied to prevent neonatal loss due to advanced prematurity.
机译：目的：我们比较了改良的Shirodkar和McDonald救援Cerclage技术在妇女与单身怀孕的疗效。方法：研究样品包括47名妇女在2008年至2017年在土耳其举办的47名妇女，并因颈椎无能和胎膜卵形扩张而受到宫颈扩张的救援席位。通过使用的Cerlage技术，Shirodkar或McDonald进行了结果。结果：麦当劳塞列尔群适用于27例，并在20例中改性Shirodkar Cercrage。虽然这些差异没有统计学意义，但观察到较长的Cerclage - 出生间隔（83.8 +/- 37.6和38.9天和63.7 +/- 38.9天和63.7 +/- 38.9天和63.7 +/- 38.9天）和晚些时候的妊娠年龄（分别为p = .08和.63）。两组在28,32和37周后具有相似的交付率（P = .20，.15和.25），而改性的Shirodkar技术导致了较高的活产率，尽管这些差异没有统计学意义（85％vs.63％，p = .09）。结论：麦当劳和改良的Shirodkar Cerclage程序对延长妊娠及改善活力的影响是相似的。因此，可以应用任何一种技术，以防止由于先进的早产为引起的新生儿损失。

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