Clinical study of modified cervical cerclage at different surgical timings in twin pregnant women with cervical insufficiency
10.3760/cma.j.cn112141-20241105-00586
- VernacularTitle:子宫颈机能不全双胎妊娠孕妇应用改良子宫颈环扎术的不同手术时机探讨
- Author:
Yanwei FAN
1
;
Guangcai ZHAO
;
Siyuan YANG
;
Wenhui CHEN
;
Ningning ZHAO
;
Haiying LIU
Author Information
1. 山东大学齐鲁医院（青岛）产科，青岛 266035
- Publication Type:Journal Article
- Keywords:
Pregnancy, twin;
Uterine cervical incompetence;
Cerclage, cervical;
Pregnancy outcome
- From:
Chinese Journal of Obstetrics and Gynecology
2025;60(2):105-113
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy of three different surgical timings of modified cervical cerclage in twin pregnant women with cervical insufficiency.Methods:The clinical data of 73 twin pregnant women who underwent modified cervical cerclage and had pregnancy outcomes in Qilu Hospital of Shandong University (Qingdao) from April 2014 to July 2023 were retrospectively analyzed. According to the different timings of surgery, they were divided into prophylactic cerclage group, ultrasound-indicated cerclage group (further divided into cervical length (CL)≤15 mm and 15 mm10 mg/L was a risk factor for preterm birth before 34 weeks of gestation ( OR=5.230, 95% CI: 1.616-16.929; P=0.006). Conclusions:In twin pregnant women with cervical insufficiency, prophylactic cerclage has the same surgical effect as ultrasound-indicated cerclage, while both prophylactic cerclage and ultrasound-indicated cerclage could significantly improve maternal and fetal outcomes compared with emergency cerclage. Twin pregnancies with CL≤15 mm might benefit from cervical cerclage. Postoperative CRP>10 mg/L is an independent risk factor for preterm birth before 34 weeks of gestation.
