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中华妇幼临床医学杂志(电子版)

中华妇幼临床医学杂志(电子版) ›› 2022, Vol. 18 ›› Issue (02) : 240 -244. doi: 10.3877/cma.j.issn.1673-5250.2022.02.017

综述

采用不同种类缝线进行宫颈环扎术治疗宫颈功能不全育龄女性疗效研究进展
徐崇彬, 李映桃†(), 周梦阳, 陈佳, 肖晓梅, 温景锋   
  1. 广州医科大学附属第三医院产科、广东省产科重大疾病重点实验室　510150
  • 收稿日期:2021-01-11 修回日期:2022-01-20 出版日期:2022-04-01
  • 通信作者: 李映桃

Research progress of curative effects on cervical cerclage with different types of sutures for treatment of women of reproductive age with cervical incompetence

Chongbin Xu, Yingtao Li†(), Mengyang Zhou, Jia Chen, Xiaomei Xiao, Jingfeng Wen   

  1. Department of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical University, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangzhou 510150, Guangdong Province, China
  • Received:2021-01-11 Revised:2022-01-20 Published:2022-04-01
  • Corresponding author: Yingtao Li
  • Supported by:
    Guangdong Province Health Appropriate Technology Promotion Project(201701150823205861); Guangzhou University Innovation and Entrepreneurship (Employment) Education Project(2020PT105)
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徐崇彬, 李映桃, 周梦阳, 陈佳, 肖晓梅, 温景锋. 采用不同种类缝线进行宫颈环扎术治疗宫颈功能不全育龄女性疗效研究进展[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(02): 240-244.

Chongbin Xu, Yingtao Li, Mengyang Zhou, Jia Chen, Xiaomei Xiao, Jingfeng Wen. Research progress of curative effects on cervical cerclage with different types of sutures for treatment of women of reproductive age with cervical incompetence[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2022, 18(02): 240-244.

宫颈功能不全(CI)是导致育龄女性反复中孕期流产及早产的重要原因，宫颈环扎术(CC)是目前治疗育龄女性CI的唯一有效方法。目前，国内外评价不同种类缝线对CC治疗育龄女性CI疗效影响的研究尚少，而且研究结论尚未达成共识。笔者拟对国内外CC治疗育龄女性CI时所采用的不同种类缝线特点、CC疗效评价及对妊娠结局影响等的最新研究进展进行综述，旨在为临床医师对CI育龄女性进行CC选择合适缝线提供参考。

关键词: 环扎术，宫颈, 宫颈功能不全, 缝线, 妊娠, 早产, 女(雌)性

Cervical incompetence (CI) is an important cause of repeated second trimester miscarriage and premature birth in women of reproductive age. Cervical cerclage (CC) is an unique and effective method for treatment of women of reproductive age with CI. At present, there are not enough literature at home and abroad evaluating curative effect of CC with different types of sutures for treatment of women of reproductive age with CI, and there is no consensus on research conclusions. The latest research progress of the characteristics of different types of sutures in CC for treatment of women of reproductive age with CI, the evaluation of curative effects of CC and its impact on pregnancy outcomes are reviewed, in order to provide a reference for clinicians to choose suitable sutures in CC for treatment of women of reproductive age with CI.

Key words: Cerclage, cervical, Uterine cervical incompetence, Sutures, Pregnancy, Premature birth, Female
表1 宫颈环扎术常用缝线成分及其特点比较
缝线 化学成分 商品名 抗张强度 操作性 线结牢固性 组织反应 弹性
聚酯纤维缝线 聚对苯二甲酸乙二醇酯 mersilene、ethiond、MB66 很高 好 好 轻 —
丝线 蚕丝蛋白纤维 SOFSILK 低 极好 极好 重 —
尼龙线 聚酰胺聚合物 Dermalon、VP-523 高 好 较差 轻 好
聚丙烯线 丙烯聚合物 prolene 一般 差 差 轻 差
延迟可吸收缝线 聚对二氧环己酮 PDS 高 好 好 轻 —
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