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| Application value of Transvaginal Color Doppler Ultrasound and Cervical Cerclage in Diagnosis and Treatment of Cervical Incompetence |
| GONG Ting, YU Ping, JIA Liang,et al |
| Medical Ultrasound Center , Northwest Women and Children's Hospital,710061 |
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Abstract 【Objective】To explore the value of transvaginal color Doppler ultrasound and cervical cerclage in the diagnosis and treatment of cervical incompetence.【Methods】 From June 2014 to July 2016, 127 high-risk patients with cervical insufficiency in our hospital were examined by transvaginal ultrasonography from 12 weeks of pregnancy. The length of cervical canal was measured and evaluated once every two weeks. The length of cervical canal was 25-30 mm, and the dilatation of cervical internal orifice showed as U-type or V-type was treated accordingly. The rest were excluded from the study. 86 patients with cervical insufficiency were divided into observation group and control group according to random number table method, 43 cases in each group. The control group was treated with didrogesterone orally, while the observation group was treated with cervical cerclage. Pregnancy outcomes (abortion, premature delivery, full-term pregnancy), pregnancy cycle, basic condition of newborn (body weight, postnatal monitoring time, Apgar score) and safety during treatment were compared between the two groups.【Results】The abortion rate and premature delivery rate in the observation group were significantly lower than those in the control group; the full-term pregnancy rate was significantly higher than those in the control group (P<0.05); the pregnancy cycle in the observation group was longer than that in the control group (P<0.05); the neonatal weight and Apgar score in the observation group were higher than those in the control group, and the monitoring time after birth was shorter than that in the control group (P<0.05). There were no complications in the observation group. There were few cases of nausea/vomiting and abdominal pain in the control group. There was no significant difference in the incidence of adverse events between the two groups (P>0.05).【Conclusion】Transvaginal color Doppler ultrasound examination is conducive to early detection of cervical insufficiency and timely treatment of patients. Cervical cerclage can effectively prolong pregnancy cycle, reduce the incidence of abortion and premature delivery, improve pregnancy outcomes. At the same time, the treatment program is safe and worthy of clinical application.
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Received: 29 November 2018
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2019, Vol. 36 
