Keywords
Laparoscopic surgery
Uterine isthmus cerclage
Perinatal outcome
Submitted : 2023-12-12
Accepted : 2023-12-27
Published : 2024-01-11
Abstract
Objective: To investigate the efficacy of laparoscopic cervical isthmus cerclage and its impact on perinatal outcomes in patients with cervical insufficiency (CIC). Methods: A total of 120 patients with CIC admitted from July 2016 to July 2023 were randomly assigned to two groups. Group A underwent laparoscopic cervical isthmus cerclage, while Group B received vaginal cervical isthmus cerclage. Perinatal outcomes were compared. Results: Group A demonstrated shorter operation and hospitalization times compared to Group B (P < 0.05). Intraoperative blood loss was also significantly less in Group A (P < 0.05). The treatment success rate in Group A was higher than that in Group B (P < 0.05). During pregnancy, the cervical length in Group A was greater, and the perinatal body weight was higher compared to Group B (P < 0.05). Additionally, the postoperative complication rate was lower in Group A (P < 0.05), and the SF-36 score of CIC patients in Group A was higher than that in Group B (P < 0.05). Conclusion: Laparoscopic cervical isthmus cerclage demonstrates the potential to reduce the duration of the disease, increase perinatal body weight, improve treatment success rates, and enhance the quality of life for patients with CIC.
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