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Korean Journal of Obstetrics & Gynecology 2003;46(8):1537-1542.
Published online August 1, 2003.
The Usefulness in the Value of Some Infectious Parameters to Predict the Success of Emergency Cervical Cerclage Operation.
Young Won Cha, Jeung In Song, Sang Hyun Lee, Jang Yeul Choi, Suk Young Kim
Department of Obstetrics and Gynecology Gachon Medical School, Inchon, Korea.
Abstract
OBJECTIVE
To predict the perinatal outcomes of emergency cervical cerclage operation we analyzed some infectious parameters before and after the operation in patients has incompetent internal os of cervix, and compared their results between one success group and one failed group. METHODS: The 13 patients with emergency cervical cerclage and the 31 patients with elective cervical cerclage included in our study. After emergency cerclage, we investigated some infectious parameters as ESR, CRP, and WBC count, every other day. And we compared these values between success and failed group. We also evaluated the difference of these results between emergency cerclage and elective cerclage operation. RESULTS: 1. There were higher values of ESR and CRP after cerclage operation in failed group than those in success group significantly (p<0.05). 2. There also had shown higher values of WBC count at 3 days after operation in failed group than those in success group significantly (p<0.05). CONCLUSION: The infection is one of the most important factors in successful perinatal outcome after emergency cerclage operation and continuous follow up in ESR, CRP and WBC counts after operation can be used to predict the perinatal outcomes in relation to incompetent internal os of cervix.
Key Words: Emergency cervical cerclage, McDonald' operation, Incompetent internal os of cervix
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