Abstract：Objective To investigate the effect of cervical cerclage combined with uterine contraction suppression on pregnancy outcome of cervical incompetence patients with twin pregnancy.Methods The clinical data of 78 cases of twin pregnancy in 360 patients with cervical incompetence who were admitted in Dalian Maternal and Child Health Hospital from January 2017 to October 2019 were retrospectively analyzed.A total of 48 patients who were treated with cervical cerclage and uterine contraction suppression during pregnancy were classified as the observation group,and 30 patients who were treated with uterine contraction suppression were classified as the control group.The conditions of patients in the observation group after surgery was recorded.The cervical canal length in the observation group was compared before and after surgery,and the pregnancy outcome and complications were compared between the two groups.Results A total of 48 patients in the observation group underwent surgery successfully,the operation time was (35.23±5.64) min,and the intraoperative bleeding volume was (19.46±4.21) mL.The cervical canal length of 48 patients in the observation group examined by vaginal bultrasound after surgery ([1.98±0.32]cm) was lower than that before surgery([3.13±0.26]cm),with statistically significant difference (P＜0.05);the gestational weeks and neonatal weight were compared between the two groups,and the differences were not statistically significant (P＞0.05);the Apgar score of the observation group was higher than that of the control group,with statistically significant difference (P＜0.05);premature rupture of membranes was not present in the two groups of patients,and the miscarriage was caused by uterine contraction cannot be suppressed,and no postoperative infection occurred.Conclusion Cervical cerclage for cervical incompetence patients with twin pregnancy has better pregnancy outcome,and it will not cause effect on fetal development.
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