PDF(Pubmed)
Abstract：
OBJECTIVE: The objective of this study was to describe demographic and clinical characteristics and surgical and neonatal results related to the modified Shirodkar cervical cerclage technique.
METHODS: This was an observational descriptive and retrospective study. Data was called from anonymized medical records of women who were pregnant and diagnosed with cervical incompetence and who had also undergone cervical cerclage procedures using the modified Shirodkar technique. The variables recorded included demographics such as the maternal age of patients, clinical features like obstetric history, physical examination, and ultrasound findings, and surgical and neonatal outcomes. The qualitative variables were processed using frequencies and percentages, and the quantitative variables were obtained through median, interquartile range, mean, and standard deviation.
RESULTS: Our study included 39 anonymized medical records. The main indication for cervical cerclage placement was prophylactic (56%). The median gestational age at cerclage placement was 16 weeks, with a median gestational age at birth of 38 weeks; only 13% had complications related to prematurity, and 5% were admitted to the neonatal intensive care unit.
CONCLUSIONS: The modified Shirodkar technique is associated with favorable surgical, maternal, and neonatal outcomes.
METHODS: This was an observational descriptive and retrospective study. Data was called from anonymized medical records of women who were pregnant and diagnosed with cervical incompetence and who had also undergone cervical cerclage procedures using the modified Shirodkar technique. The variables recorded included demographics such as the maternal age of patients, clinical features like obstetric history, physical examination, and ultrasound findings, and surgical and neonatal outcomes. The qualitative variables were processed using frequencies and percentages, and the quantitative variables were obtained through median, interquartile range, mean, and standard deviation.
RESULTS: Our study included 39 anonymized medical records. The main indication for cervical cerclage placement was prophylactic (56%). The median gestational age at cerclage placement was 16 weeks, with a median gestational age at birth of 38 weeks; only 13% had complications related to prematurity, and 5% were admitted to the neonatal intensive care unit.
CONCLUSIONS: The modified Shirodkar technique is associated with favorable surgical, maternal, and neonatal outcomes.
摘要：
目的：本研究的目的是描述与改良Shirodkar宫颈环扎术相关的人口统计学和临床特征以及手术和新生儿结果。
方法：这是一项观察性描述性和回顾性研究。数据来自孕妇的匿名医疗记录，这些妇女被诊断为宫颈机能不全，并且还使用改良的Shirodkar技术进行了宫颈环扎术。记录的变量包括人口统计学，例如患者的母亲年龄，临床特征如产科病史，体检,和超声检查结果，以及手术和新生儿结局。定性变量使用频率和百分比进行处理，定量变量是通过中位数获得的，四分位数间距,意思是，和标准偏差。
结果：我们的研究包括39份匿名医疗记录。宫颈环扎术的主要适应症是预防性（56％）。环扎术的中位胎龄为16周，出生时的中位胎龄为38周；只有13%的人出现与早产有关的并发症，5%的人入住新生儿重症监护室。
结论：改良的Shirodkar技术与良好的手术相关，母性,和新生儿结局。
方法：这是一项观察性描述性和回顾性研究。数据来自孕妇的匿名医疗记录，这些妇女被诊断为宫颈机能不全，并且还使用改良的Shirodkar技术进行了宫颈环扎术。记录的变量包括人口统计学，例如患者的母亲年龄，临床特征如产科病史，体检,和超声检查结果，以及手术和新生儿结局。定性变量使用频率和百分比进行处理，定量变量是通过中位数获得的，四分位数间距,意思是，和标准偏差。
结果：我们的研究包括39份匿名医疗记录。宫颈环扎术的主要适应症是预防性（56％）。环扎术的中位胎龄为16周，出生时的中位胎龄为38周；只有13%的人出现与早产有关的并发症，5%的人入住新生儿重症监护室。
结论：改良的Shirodkar技术与良好的手术相关，母性,和新生儿结局。
