Noticias médicas
/ Publicado el 17 de agosto de 2001
Embarazos de riesgo
Ultrasonido transvaginal temprano versus cerclaje temprano en mujeres con historia incierta de cervix incompetente
En las mujeres con una historia incierta de cervix incompetente, el cerclaje temprano no parece ofrecer el beneficio significante sobre el ultrasonography transvaginal temprano.
Diseño del estudio: Se repasaron las historias clínicas del banco de datos obstétrico desde 1995 hasta 1997y las pacientes fueron identificadas para incompetencia cervical. Se incluyeron a mujeres en la categoría de historia incierta de cervix incompetente de acuerdo a: pérdida o terminación del segundo-trimestre, 3 terminaciones del primer-trimestre, cono biopsia o excisión con loop electroquirúrgico, o exposición al dietilestilbestrol. La variable del resultado primaria fue la edad gestacional al parto.
Un total de 106 mujeres resultó incluido en el estudio, 45 en el grupo con cerclaje y 61 en el grupo de ultrasonido transvaginal temprano. La edad gestacional media al parto fue de 35.1 semanas para el cerclaje temprano contra 36.1 semanas para el grupo de ultrasonido transvaginal temprano.
Se concluye que en las mujeres con una historia incierta de cervix incompetente, el cerclaje temprano no parece ofrecer el beneficio significante sobre el ultrasonography transvaginal temprano.
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