[Surgical cerclage in the treatment of cervical incompetence during pregnancy (determining the legitimacy of the procedure)].
The authors studied the effectiveness of the cervical cerclage operation in the therapy of cervical insufficiency during the pregnancy. Two Hundred sixteen pregnant women took part in this trial in whose pregnancy the necessity of cerclage operation was not unequivocal. It means, that the therapeutical cerclage operation was not necessary, but the necessity of prophylactic cerclage operation was doubtful as well. From the randomized 216 cases they performed cerclage operation in 108 pregnancies and in 108 cases they did not perform it. In the respect of pregnancy care they did not make any difference between the two groups. The authors from their trial draw the conclusion, that in doubtful cases where the necessity of cervical cerclage operation is not unequivocal--e.g. at serious gestational case history--it is advisable to perform the operation. The danger of premature birth can be diminished in this way.
Szeverényi
M
M
Debreceni Orvostudományi Egyetem Szülészeti és Nögyógyászti Klinika.
Chalmels
J
J
Grant
A
A
Nagy
T
T
Nagy
J
J
Balogh
I
I
Lampé
L
L
D005260:Female; D006801:Humans; D008026:Ligation; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D002581:Uterine Cervical Incompetence / Q000601:surgery*
Cerclage mütét a méhnyak-elégtelenség kezelésében terhesség során (a mütét jogosságának megítélése).