Abstract:
A defect in the structure or function of the cervix that causes it to fail to contain the fetus intrauterine creates the condition called cervical insufficiency. Typical symptoms are pressure in the area of the pelvis, premature membrane rupture, and cervical dilation without uterine contractions. Surgical treatment includes the technique of cervical cerclage. It is usually performed from week 12 to week 16 of pregnancy. This article presents a case of rescue cervical cerclage after 24 weeks gestation and the observance of the pregnancy that followed. The cerclage was successful in prolonging the gestation of the fetus and no post-operative complications occurred due to the operation. The outcome of the pregnancy was a live and healthy baby born at 34 weeks gestation.
摘要:
子宫颈结构或功能的缺陷导致其不能在子宫内容纳胎儿,从而造成称为宫颈机能不全的状况。典型的症状是骨盆区域的压力,胎膜早破,宫颈扩张而无子宫收缩。手术治疗包括宫颈环扎术。通常在怀孕的第12周至第16周进行。本文介绍了妊娠24周后进行抢救性宫颈环扎术的情况以及随后的妊娠观察。环扎术成功延长了胎儿的妊娠时间,并且由于手术而没有发生术后并发症。妊娠的结果是在妊娠34周时出生的活的健康婴儿。