Cervical insufficiency What is it?
Cervical insufficiency full name uterus Incomplete atresia of the internal neck and cervical laxity. Cervical insufficiency patients with cervical fibrous tissue, elastic fibers and slender muscles are reduced, or due to the rupture of the cervical intraoral ostium fibrous tissue, the ability of the isthmus sphincter is reduced, causing the cervical to present pathological expansion and relaxation.
Cervical insufficiency Cervical insufficiency is mainly manifested in premature delivery, middle and late recurrent miscarriage, and 8% of those who have repeated abortions? 15%.
Cervical insufficiency
Cervical insufficiency
Cervical insufficiency
1. Cervical canal dysplasia 上海代孕 can be accompanied by uterine dysplasia. The law of severe dysplasia takes shape. The ratio of moderately dysplastic cervical length to uterine body is 1: 1, so-called "youth-type uterus". Poor judicial development can lead to inadequate secretory function of prison glands.
2. Cervical canal atresia and congenital congenital atresia or stenosis are mostly caused by the formation and fusion of bilateral lower Mullerian duct. Rarely clinically, often accompanied by uterine hypoplasia, most of the second sexual characteristics occur in normal;
If the patient has a good endometrial function, puberty can cause lower abdominal pain due to hemorrhage in the uterine cavity, or less menstruation with dysmenorrhea, menstrual blood or abdominal tubing refluxing through the fallopian tube, causing pelvic 上海代孕网站 endometriosis.
3. Abnormal cervical canal position is often accompanied by abnormal position of the uterus. Chronic pelvic inflammatory disease or endometriosis can cause extreme backward tilt, flexion or flexion of the uterus, so that the external opening of the cervix is attached to the fornix, causing the posterior fornix to become shallow and losing the role of sperm storage, which is not conduciveSperm ascending
In addition, prolonged legislation, too short or cervical prolapse may also change the normal positional relationship between the cervical ostium and the posterior fornix, hindering sperm ascending.
4. Cervical fibroids Cervical fibroids cause infertility mainly due to the deformation and contraction of the cervical canal, which affects the passage of sperm. The clinical manifestations are mainly irregular menstruation, increased menstrual blood volume, increased leucorrhea or bladder, to correct symptoms. Some patients are asymptomatic;
Gynecological examination can find that there are prominent fibroids nodules or cervical morphology changes in the cervix, the cervix of the fibroids is enlarged, and the contralateral side is compressed and thinned, and the outer cervix is stretched out and twisted.
uterus
uterus
How to treat cervical insufficiency
Cervical insufficiency is mainly to strengthen weak cervical cancer through surgical implantation. Bleeding, contractions or premature rupture of membranes are contraindications to surgery;
In general, early miscarriage caused by other reasons usually occurs before 14 weeks, so cervical cerclage should be performed after 14 weeks. There is no unified conclusion on when to perform cerclage during pregnancy. The later the pregnancy month, the possibility of surgery leading to miscarriage and premature rupture of membranes becomes.
Therefore, for women in the second and third trimesters, some doctors are more likely to choose conservative treatment for rest rather than cerclage. Generally, the gestational age is greater than 24-26 weeks and no cerclage is performed;
Before performing cerclage, ultrasound must be used to confirm the survival of the fetus without major deformities. Cervical cancer treatment is very necessary. It is recommended to carry out the culture examination of gonococcus, chlamydia and type B hemolytic streptococci. Avoid sexual intercourse for at least one week before and after 上海代孕服务 surgery.
