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习惯性流产-安胎

宫颈埋箍狙击晚期流产 Cervical collar attack late miscarriage 2008-9-24

  • 来源:cfl
  • 作者:cfl
  • 更新日期:2019-07-19 22:17
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宫口松弛概述:宫口松弛是宫颈发育不全或宫颈裂伤导致的宫颈机能不全,是晚期反复自然流产和反复早产的主要原因。 宫口松弛病因:较多见的是先天子宫峡部发育不良,子宫畸形并发症之一;少部分是后天产伤的宫颈撕裂后遗症。 Lax of the mouth: Lax of the mou

宫口松弛概述:宫口松弛是宫颈发育不全或宫颈裂伤导致的宫颈机能不全,是晚期反复自然流产和反复早产的主要原因。 宫口松弛病因:较多见的是先天子宫峡部发育不良,子宫畸形并发症之一;少部分是后天产伤的宫颈撕裂后遗症。

Lax of the mouth: Lax of the mouth of the cervix is an incomplete cervical function caused by incomplete development or cervical laceration. It is the main cause of late recurrent spontaneous miscarriage and repeated premature birth. Aetiology of uterine relaxation: more common is the congenital dysplasia of the isthmus, one of complications of uterine malformation; A small part of it is the sequelae of the cervical tear from the acquired injury.

宫颈松弛诊断:

Cervical relaxation diagnosis:

1、扩宫试验,是诊断宫颈内口松弛的最可靠诊断技术。在非经非孕期,用8号扩宫棒,依次递减,试扩宫口。正常标准:5号扩宫棒不能自由通过宫颈内口。Extending the palace test is the most reliable diagnostic technique for diagnosis of cervical cavity relaxation. In non-pregnancy, use the No. 8 expansion stick to decrease in order to try to expand the palace. Normal standard: No 5 dilatation rod can not freely pass through the cervix.

2、动态数字化子宫输卵管造影,间接了解子宫颈内口形态和宽度,定标后 正常宽度4mm以下。诊断意义次于扩宫试验。

2, dynamic digital uterine oviduct angiography, indirect understanding of the cervix morphology and width, after the standard normal width of 4mm or less. The diagnostic meaning is secondary to the dilation test.

3 、阴道四维彩超,测量横切管长度和宫颈内口时的宽度,一般认为排卵期宽度在4mm以下是正常的。诊断意义次于造影。

3, vaginal four-dimensional color super, measuring the length of the transverse tube and the width of the cervix, it is generally believed that the width of the ovulation period is below 4mm is normal. Diagnosis is inferior to angiography.

传统方法Traditional methods

在妊娠20周左右将宫口用丝线环扎,缺陷是缝扎的只是外口,一旦宫缩发动,不能有效阻止宫颈扩张,且易诱发宫缩而流产,缝扎后还容易引起宫颈管感染,导致胎膜早破流产,成功率不足20%左右。

Around 20 weeks of pregnancy, the mouth of the palace is wound with silk thread. The defect is that it is only the outer mouth. Once the contractions are initiated, they can not effectively prevent the expansion of the cervix, and they can easily induce contractions and miscarriages. After the suture, it is also easy to cause cervix infection., resulting in premature miscarriage of the fetal membrane, The success rate is less than 20 %.

宫颈埋箍术:Cervical banding:

北京安太医院陈凤林院长,在2005年度发明了治疗宫颈松弛的新术式—宫颈埋箍术,是在孕前将一个“钢箍”(安太专利)埋在宫颈内口的肌肉里面(就象水泥内加入钢筋),阻止宫颈在妊娠晚期扩张导致流产的新术式。

Chenfenglin, Dean of Beijing Antai Hospital, invented a new technique for treating cervical relaxation in 2005-cervical banding. Before conception, a "steel hoop"(Antai patent) was buried in the muscles of the cervix(like the addition of steel bars in cement). A new procedure that prevents the cervix from expanding in the late stages of pregnancy and causing miscarriage.

创新点和学术价值:Innovations and academic values:

在孕前手术避免了缝扎导致流产的可能性,也不会导致宫颈感染。将“钢箍”埋在宫颈内口的肌肉内,有效阻止宫颈内口的扩张。该术式在宫颈口松弛治疗方面处于国际先进水平。经临床验证,此术式安全、有效,成功率高。Preconception surgery avoids the possibility of suture leading to miscarriage, and does not lead to cervical infection. Bury the "steel hoop" in the muscles of the cervix, effectively preventing the expansion of the cervix. This type of operation is at the international advanced level in the treatment of cervical mouth relaxation. Through clinical verification, this type of surgery is safe, effective, and has a high success rate.

成功率:Success rate:

安太经治数百例,成功率100%。Antai treatment of hundreds of cases, the success rate of 100 %.

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