[1]张 婷,王亚琴.妊娠合并子宫脱垂临床分析[J].医学信息,2021,34(18):116-118.[doi:10.3969/j.issn.1006-1959.2021.18.030]
　ZHANG Ting,WANG Ya-qin.Clinical Analysis of Pregnancy Complicated with Uterine Prolapse[J].Medical Information,2021,34(18):116-118.[doi:10.3969/j.issn.1006-1959.2021.18.030]
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妊娠合并子宫脱垂临床分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年18期
页码:
116-118
栏目:
临床研究
出版日期:
2021-09-18

文章信息/Info

Title:
Clinical Analysis of Pregnancy Complicated with Uterine Prolapse
文章编号:
1006-1959（2021）18-0116-03
作者:
张 婷1; 王亚琴2
1.西安医学院研究生院，陕西 西安 710068；2.陕西省人民医院产科，陕西 西安 710068
Author(s):
ZHANG Ting1; WANG Ya-qin2
1.Graduate School,Xi’an Medical University,Xi’an 710068,Shaanxi,China;2.Department of Obstetrics,Shaanxi Provincial People’s Hospital,Xi’an 710068,Shaanxi,China
关键词:
妊娠; 子宫脱垂; 子宫托; 剖宫产
Keywords:
Pregnancy; Uterine prolapse; Pessary; Cesarean section
分类号:
R711.74
DOI:
10.3969/j.issn.1006-1959.2021.18.030
文献标志码:
A
摘要:
目的 分析妊娠合并子宫脱垂患者临床资料，旨在为该病的预防及诊治提供参考。方法 收集陕西省人民医院产科病院2010年1月-2020年1月收治的6例妊娠合并子宫脱垂患者临床资料，分析患者一般资料、治疗及预后。结果 14周内妊娠合并脱垂者2例，28周以上者4例；其中既往人流史4例；顺产4例，先天性子宫脱垂1例，均无剖宫产史；6例均有不同程度的阴道肿物脱出感，其中合并宫颈前后唇血肿、胎膜早破、先兆流产、并发膀胱炎各1例，先兆早产3例，早产2例。3例Ⅰ度脱垂者给予保守治疗后可自行还納。1例Ⅱ度重型还納后在剖宫产同时行双侧圆韧带缩短术，2例给予子宫托治疗，最终3例顺产，2例剖宫产，1例失访，新生儿结果均良好。结论 妊娠期子宫脱垂的早识别及处理至关重要的，可能避免相关并发症的发生，孕期应进行保守治疗尽可能延长孕周，可根据脱垂的严重程度、胎龄、胎次及患者的意愿选择分娩方式。
Abstract:
Objective To analyze the clinical data of patients with pregnancy complicated with uterine prolapse, in order to provide reference for the prevention, diagnosis and treatment of the disease.Methods The clinical data of 6 pregnant women with uterine prolapse admitted to the obstetric hospital of Shaanxi Provincial People’s Hospital from January 2010 to January 2020 were collected. Analyze the general information, treatment and prognosis of patients.Results There were 2 cases of pregnancy complicated with prolapse within 14 weeks, and 4 cases over 28 weeks; among them, 4 cases had a history of abortion, 4 cases were normal delivery, and 1 case was congenital uterine prolapse. There was no history of cesarean section.6 cases had varying degrees of vaginal mass prolapse, including 1 case each with anterior and posterior hematoma of the cervix, premature rupture of membranes, threatened miscarriage, and complicated cystitis, 3 cases of threatened premature delivery, and 2 cases of premature delivery.3 cases of first-degree prolapse were able to repay by themselves after conservative treatment. 1 case of second-degree severe delivery underwent bilateral round ligament shortening at cesarean section at the same time, and 2 cases were treated with pessary. Finally, 3 cases were delivered ordinarily, 2 cases were delivered by cesarean section, 1 case was lost to follow-up, and the neonatal results were good.Conclusion The early recognition and treatment of uterine prolapse during pregnancy is essential to avoid related complications. Conservative treatment should be carried out during pregnancy to extend the gestational week as much as possible.The delivery method can be selected according to the severity of the prolapse, gestational age, parity and the patient’s wishes.

参考文献/References:

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更新日期/Last Update: 1900-01-01