Comparison of the curative effect between pre-pregnancy laparoscopic cervix cerclage and McDonald cervical cerclage in the treatment of cervical dysfunction

ObjectiveTo compared the effects between pre-pregnancy laparoscopic cervix cerclage and McDonald cervical cerclage in the treatment of cervical incompetence.

MethodsFifty patients with cervical incompetence were divided into the pre-pregnancy group(24 cases treatment with laparoscopic cervix cerclage) and pregnancy group(26 cases treatment with McDonald's cervical cerclage).The operation, and maternal and fetal outcomes between two groups were compared.

ResultsNo conversion to open laparotomyànd operative complication occurred in two groups.The hospital stays and intraoperative blood loss in pre-pregnancy group were lower than those in pregnancy group(P < 0.05), and the difference of operation time between two groups was not statistically significant(P>0.05).The prenatal pregnancy and preterm birth rates, and full-term delivery rate in pregnancy group were lower and higher than those in pregnancy group, respectively(P < 0.05), while the difference of the late abortion rate between two groups was not statistically significant(P>0.05).There were 23 live births of neonates, and all were cesarean section in pre-pregnancy group.There were 22 live births of neonates, 11 cases were cesarean section, and 11 cases were natural labour in pregnancy group.The average gestational week and neonatal body mass in pregnancy group were lower than those in pre-pregnancy group(P < 0.05 to P < 0.01), and the rates of neonatal asphyxia and transfer NICU in pregnancy group were higher than those in pre-pregnancy group(P < 0.05).

ConclusionsPre-pregnancy laparoscopic cervix cerclage in the treatment of cervical incompetence is short hospital stay and less bleeding during operation.It can reduce pregnancy spuc, and improve maternal and infant outcomes.It has good clinical effect, and is worth popularizing and applying.