妊娠期腹腔镜宫颈环扎术治疗复发性中期妊娠丢失和之前失败的McDonald缝合的妇女：病例报告
Laparoscopic Cervical Cerclage During Pregnancy in a Woman With Recurrent Second-Trimester Pregnancy Loss and a Previous Failed McDonald Suture: A Case Report.
摘要(中文译文)
宫颈机能不全是导致中孕期妊娠丢失和极早早产的主要原因之一。经阴道宫颈环扎术（McDonald或Shirodkar术式）是标准治疗方法；然而，部分高危患者尽管接受了干预仍持续出现治疗失败。腹腔镜宫颈环扎术（LCC）为既往环扎失败的高危患者提供了一种替代选择。一名27岁女性，既往有三次中孕期妊娠丢失史及一次McDonald宫颈环扎术失败史，于妊娠早期13.2周时接受了LCC。手术成功，随后她获得了可存活妊娠，于36.4周经剖宫产分娩。由于LCC具有更好的产科结局且发病率低，对于既往经阴道环扎术失败的难治性宫颈机能不全患者，可将其视为一种可行的选择。
Abstract
Cervical insufficiency is a leading cause of second-trimester pregnancy loss and extreme preterm birth. Transvaginal cerclage (McDonald or Shirodkar) is the standard treatment; however, some high-risk patients continue to experience failure despite intervention. Laparoscopic cervical cerclage (LCC) offers an alternative for high-risk patients with prior cerclage failure. A 27-year-old woman with a history of three second-trimester losses and one failed McDonald cerclage underwent LCC during the first trimester of pregnancy at 13.2 weeks. The procedure was successful, and she subsequently achieved a viable pregnancy, delivering at 36.4 weeks via caesarean section. As LCC offers better obstetric outcomes with minimal morbidity, it can be considered a viable option for patients with refractory cervical insufficiency with prior failed transvaginal cerclage.
如何引用
AMA
Nikita Vijay. Laparoscopic Cervical Cerclage During Pregnancy in a Woman With Recurrent Second-Trimester Pregnancy Loss and a Previous Failed McDonald Suture: A Case Report.. Cureus. 2026; doi:10.7759/cureus.109254.
APA
Nikita Vijay (2026). Laparoscopic Cervical Cerclage During Pregnancy in a Woman With Recurrent Second-Trimester Pregnancy Loss and a Previous Failed McDonald Suture: A Case Report.. Cureus. https://doi.org/10.7759/cureus.109254
GB/T 7714
Nikita Vijay. Laparoscopic Cervical Cerclage During Pregnancy in a Woman With Recurrent Second-Trimester Pregnancy Loss and a Previous Failed McDonald Suture: A Case Report.[J]. Cureus, 2026 doi:10.7759/cureus.109254.
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