Laparoscopic abdominal cerclage is emerging as the preferred treatment option for patients with refractory cervical insufficiency. Laparoscopic abdominal cerclage reduces second-trimester loss and preterm birth with success rates similar to open abdominal cerclage. Increasing evidence also suggests improved neonatal survival rates with abdominal cerclage compared with repeat vaginal cerclage in patients who delivered prematurely despite a vaginal cerclage. The option to perform a highly effective treatment using minimally invasive techniques suggests laparoscopic abdominal cerclage will become the standard of care for refractory cervical insufficiency. This review examines the literature with regard to the indications and outcomes of abdominal cerclage, highlighting the laparoscopic technique.

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腹腔镜腹部环扎术：治疗顽固性宫颈机能不全的高效选择

腹腔镜腹部环扎术正在成为顽固性宫颈机能不全患者的首选治疗方案。腹腔镜腹部环扎术可减少孕中期流产和早产，成功率与开腹环扎术相似。越来越多的证据还表明，与重复阴道环扎术相比，尽管进行了阴道环扎术而过早分娩的患者，腹部环扎术可提高新生儿的存活率。使用微创技术进行高效治疗的选择表明，腹腔镜腹部环扎术将成为难治性宫颈功能不全的护理标准。本综述审查了有关腹部环扎术的适应症和结果的文献，重点介绍了腹腔镜技术。