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임신 중반기의 무통성 자궁경관 개대에 대한 응급 자궁경관 봉축술의 임상적 의의에 대한 연구
신진웅(Jin Woong Shin),이종승(Jong Seung Lee),문희봉(Hee Bong Moon),안상권(Sang Kwon Ahn),변태섭(Tae Sup Byeun),장병우(Byeung Woo Jang),노덕영(Duck Yeong Ro),김도강(Do Kang Kim),김수평(Soo Pyung Kim) 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.11
N/A A retrospective study was conducted to evaluate the clinical outcomes of midtrimester emergency cervical cerclage in patients with painless cervical dilatation with/without prolapsed amniotic sac, including cases of no previous history of cervical incompetence. 10 patients including 1 twin pregnancy were teviewed for study, All had received emergency cervical cerclage with Macdonald operation or Shirodka operation at 18 to 31 weeksgestation. The procedures were carried out without serious complication except for one patient who had received re-operation 3 days after Macdonald operation because of re-protrusion of amniotic sae. The mean procedure to delivery internal was 8.9+5.3 (range 1 to 17) weeks. The mean gestational age at delivery was 32.4+5.6 (range 22 to 39+6) weeks for the entire group, 36.1+2.6 (range 32+4 to 39+6) weeks for the 6 who achived viability, and 27.6+5.0 (range 22 to 29+4) weeks for the 3 who died during the neonatal period. 1 died during gestation and was delivered at 33+6 weeksgestation. The mean birthweight was 2181.6+971.6 (range 498 to 3500)g for the entire group, and 2712.9+ 571.5 (range 1860 to 3500)g for the 7 infants who lived until after neonatal period. The total survival rate for 11 babies was 64%. This study demonstrates that midtrimester emergency cervical cerclage for the patients who have dilated cervix with/without prolapsed amniotic sac is valuable method to try in the cases predicted they would lost the baby with conservative treatment only.