Información del artículo
Summary
We present our experience of cervical cerclage in gestants with a dilated uterine cervix and bulging membranes. Our foetal survival rate is 25%. Transvaginal ultrasound is the technique routinely used to evaluate cervical competence during pregnancy. Vidence exists to confirm that emergency cerclage in cases of advanced dilatation produces a higher level of foetal survival than conservative treatment with bedrest. Controversy persists in those cases where cervical changes have been diagnosed early with ultrasound and in which cervical cerclage has not been demonstrated to be superior to conservative bedrest.
Resumen
Presentamos nuestra experiencia en el cerclaje cervical en gestantes con cérvix uterino dilatado y membranas protruyentes. Nuestra supervivencia fetal es del 25%. La ecografía transvaginal es la técnica aceptada para la valoración de la competencia cervical durante el embarazo. Existe evidencia para afirmar que el cerclaje de urgencia en casos con dilatación avanzada proporciona mayor supervivencia fetal que el tratamiento médico con reposo en cama. Persiste lacontroversia en los casos con cambios cervicales tempranos diagnosticados mediante ecografía, en los que el cerclaje cervical no ha demostrado ser superior al tratamiento conservador en los trabajos realizados.
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