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Volume 11,Issue 3

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26 March 2026

Clinical Comparative Study of Modified Laparoscopic Cervical Cerclage and Transvaginal Cervical Cerclage in the Treatment of Cervical Insufficiency

Weijuan Xue*1
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1 The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu, China
APM 2026 , 11(3), 100–105; https://doi.org/10.18063/APM.v11i3.1654
© 2026 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Objective: To observe the clinical effects of modified laparoscopic cervical cerclage and transvaginal cervical cerclage in the treatment of cervical insufficiency. Methods: 74 patients with cervical insufficiency in our hospital (from June 2024 to September 2025) were selected and randomly divided into a control group (37 cases) undergoing transvaginal cervical cerclage and an observation group (37 cases) undergoing modified laparoscopic cervical cerclage. The patients’ surgical conditions, hospitalization time, pregnancy outcomes, complication rates, neonatal outcomes and quality of life were observed. Results: The operation time, intraoperative blood loss, and hospitalization time of the observation group were shorter than those of the control group (P < 0.05); the pregnancy outcome of the observation group was better than that of the control group (P < 0.05); the incidence of complications in the observation group was lower than that of the control group (P < 0.05); the neonatal outcome of the observation group was better than that of the control group (P < 0.05); and the quality of life score of the observation group was higher than that of the control group (P < 0.05). Conclusion: The modified laparoscopic cervical cerclage surgery for patients with cervical insufficiency has good results. It can promote postoperative recovery, improve pregnancy outcomes and neonatal outcomes, reduce the incidence of complications, and improve the quality of life. It is better than transvaginal cervical cerclage treatment and is worth learning from.

Keywords
Modified laparoscopic cervical cerclage
Transvaginal cervical cerclage
Cervical insufficiency
References

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