Cervical cerclage

被引：3
|
作者：
Akladios, C. Y. [1 ]
Sananes, N. [1 ]
Gaudineau, A. [1 ]
Boudier, E. [1 ]
Langer, B. [1 ]
机构：
[1] Hop Hautepierre, Dept Obstet Gynecol, F-67098 Strasbourg, France
来源：
JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION | 2015年 / 44卷 / 08期
关键词：
Cerclage; Cervical insufficiency; Cervical incompetence; Late abortion; Premature birth; Cervical length; EMERGENCY CERCLAGE; PRETERM BIRTH; MICROBIAL INVASION; INTACT MEMBRANES; CONTROLLED TRIAL; BED REST; WOMEN; PREVENTION; LABOR; RISK;
D O I：
10.1016/j.jgyn.2015.06.004
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Cervical cerclage aims to strengthen not only the mechanical properties of the cervix, but also its immunological and anti-infectious functions. The demonstration of a strong interrelation between cervical insufficiency as well as decreased cervical length at endo-vaginal ultrasonography and infection has changed the indications cerclage. Actually we can distinguish three indications for cerclage: prophylactic, for obstetrical history; therapeutic, for shortened cervical length at ultrasonographie in patients at risk and; emergency cerclage in case of threatening cervix at physical examination. The McDonald's technique is the most recommended. In case of failure, it is proposed to realize cerclage at a higher level on the cervix either by vaginal or abdominal route. (C) 2015 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：771 / 775
页数：5
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