Clinical Observation Of Cervical Vaginal Cerclage In The Treatment Of Cervical Insufficiency During Pregnancy

Objective:By collecting data on patients with cervical insufficiency during pregnancy,to investigate the clinical efficacy of cervical vaginal cerclage in the treatment of cervical incompetence during pregnancy and its effect on pregnancy outcomes.Methods:A retrospective analysis method was used to collect 110 patients who were admitted to the First Affiliated Hospital of Guangxi Medical University from January 2013 to October 2017 in the family planning wards and obstetric wards of 110 patients who had undergone cervical cerclage for cervical incompetence during pregnancy.Case information.Therefore,patients were divided into group A(43 cases),group B(38 cases)and group C(29 cases)according to the timing of cerclage.Prophylactic cervical cerclage in group A,stress cerclage in group B,and emergency cerclage in group C;According to the difference in the number of cystic circumcision weeks,pregnancy was 13+1-18 weeks(75 cases)in the cerclage group and 18+6-31 weeks of gestation(35 cases).Comparing delivery gestational weeks,prolonged gestational weeks,fetal full-term yield,live birth rate,preterm birth rate and miscarriage rate in patients undergoing transvaginal cervical cerclage at different times and in different gestational weeks.All data were analyzed using statistical software SPSS19.0.Results:There was no significant difference in the general data of patients(age,pregnancy,previous miscarriage,or number of premature deliveries)(P>0.05).In 110 patients,the success rates of surgery in group A,group B,and group C were 95.34(41/43)%,92.11%(41/43),and 82.80%(41/43)respectively.The success rate of A and B groups was higher than that of C group,but the difference was not statistically significant(P>0.05).There was a statistically significant difference in the gestational age,gestational age,and fetal full-term birth rate between groups A,B,and C(P<0.05),but there was a difference between the fetal survival rate,preterm birth rate,and miscarriage rate.The difference was not statistically significant(P>0.05).Urgent cervical cerclage was lower than the prophylactic cervical cerclage and stress cerclage surgery,Mainly in patients with gestational age 28 weeks of delivery rate is relatively high,and the proportion of gestational weeks ? 37 weeks of childbirth rate is low.The pregnancy gestational age,fetal full-term birth rate,and fetal live birth rate of patients who were pregnant for 13+1-18 weeks of cervical cerclage were higher than those of women who were pregnant for 18+1-31 weeks of gestation.The difference was statistically significant(P>0.05).P<0.05).Conclusion:1.Prophylactic cervical cerclage and stress cervical cerclage in pregnancy patients with cervical incompetence can reduce the middle and late stage miscarriage rate and premature birth rate,improve fetal survival rate.Urgent cervical cerclage as a remedy for patients with cervical insufficiency during pregnancy can also achieve certain clinical efficacy.We need to perform surgery according to the specific circumstances of the patient.2.The gestational age,fetal live birth rate,and term birth rate of the cerclage group in the 13+6-18 weeks of pregnancy were higher than those of the gestation group at 18+1-31 weeks.The cervix is gestational weeks of 14-18 weeks.