及时缝合能挽救生命吗？2024 年宫颈环扎术的最新证据

Q3 Medicine

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2024-06-01 DOI:10.1016/j.ogrm.2024.03.004

Nicole Pilarski, R. Katie Morris, Victoria Hodgetts-Morton

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引用次数: 0

摘要

宫颈环扎术对预防妊娠失败的潜在治疗作用已被认可 120 多年，但仍有许多问题没有得到解答。关于哪些人最适合或最能从宫颈环扎术中获益、应使用哪种缝合方式（如低位阴道缝合、高位阴道缝合或经腹缝合）、缝合技术，以及何时可采用替代或辅助疗法等问题，都存在很大的不确定性。本综述总结了近期的指导意见、新证据以及对正在进行的研究的期望，以帮助人们了解宫颈环扎术在 2024 年及以后的作用。

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Does a stitch in time save lives? An update on the evidence for cervical cerclage in 2024

The potential therapeutic benefit of cervical cerclage for preventing pregnancy loss has been recognised for over 120 years; however, there remain many unanswered questions. There is considerable uncertainty regarding who is most suitable or will benefit most from cerclage, what type of suture should be used, such as low vaginal, high vaginal or transabdominal sutures, and indeed the suture technique, as well as when alternative or adjunctive therapies may be employed. This review presents a summary of recent guidance, new evidence and expectations for ongoing research to inform understanding of the role of cervical cerclage in 2024 and beyond.

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来源期刊

Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.