Kliniğimizdeki Servikal Yetmezlik Olgularına Yaklaşım

Handling of Cervical insufficiency Cases in Our Clinic Assessing of the effects of a variety of cerclage operations performed in our department in the pregnants with the diagnosis of cervical insufficiency, on pregnancy, type and duration of delivery and discussing the complications due to operations and comparing the results with the previous studies. 17 pregnant patients who were admitted to Department of Obstetrics and Gynecology. Fırat University, School of Medicine between September 1997 and June 1999 were included in an interventional type of study. The patients who were devoid of uterine contractions, premature, rupture of membranes, chorioamnionitis, or fetal structural and genetic abnormalities were classified into 3 groups in terms of the "grade of cervical dilatation" and the "transvaginal ultrasound results" in accordance with Wong et all's classification. Group 1 (n=13): No contraction and cervical dilatation. Cervical insufficiency signs exist on transvaginal ultrasound examination. Group 2 (n=2): No contraction; cervical dilatation 3 cm- Elective surgery, and emergent Mc Donald cerclage operations and elective Shirodkar cerclage operations were performed in group 1, 3 and 2 respectively. For statistical methods, descriptive analyses of data were performed. In repeated measurements. Wilcoxon rank test was applied in which, p 3cm. Grup l'deki vakalara elektif, 3'deki vakalara acil Mc Donald serklaj, Grup 2'deki vakalara elektiT Shirodkar serklaj uygulandı. İstatistiksel yöntem olarak verilerin tanımlayıcı istatistikleri yapıldı. Tekrarlı ölçümde Wilcoxon Rank testi kullanıldı, p
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