宫颈环扎术的术后妊娠期管理

宫颈环扎术作为预防宫颈机能不全所致早产的治疗手段之一,已广泛用于临床,对于其术后患者是否需在围手术期使用抗生素和保胎药物、终止妊娠的时机和方式及遗留缝线的处理等问题值得临床医生关注和讨论。本文复习国内外文献及江南大学附属医院妇产科的临床经验就宫颈环扎术后妊娠期管理的一些重要问题进行初步探讨。

The Management of the Pregnant Women after Insertion of Cervical Cerclage

Cervical cerclage has been widely used to prevent preterm labor in patients with cervical incompetence. It is worthy for clinicians concerning and discussing some issues such as the use of antibiotics and contraction inhibitors during perioperative period , also the time and method of termination of pregnancy, and the management of retained suture lines. This article will focus on important issues about the management of the pregnant women after insertion of cervical cerclage by reviewing some domestic and overseas literatures and Affiliated Hospital of Jiangnan University clinical experiences.