Lieng Marit, Istre Olav, Langebrekke Anton
Department of Obstetrics and Gynecology, Ullevaal University Hospital, Oslo, Norway.
J Am Assoc Gynecol Laparosc. 2004 Feb;11(1):92-3. doi: 10.1016/s1074-3804(05)60020-5.
Myomectomy is performed frequently to preserve or increase fertility, although the risk of future uterine rupture is a major concern of any surgery of the uterus. A 36-year-old woman underwent laparoscopic removal of a pendunculated myoma, and 6 weeks later she conceived after IVF. At 35.5 weeks' gestation she was admitted to the hospital because of abdominal pain. Cesarean section revealed rupture of the uterine wall at the site of the myoma. This and similar case reports indicate that inadequate laparoscopic suturing is not the only factor involved in rupture of the uterine wall during pregnancy after laparoscopic myomectomy.
子宫肌瘤切除术经常被用于保留或提高生育能力，尽管未来子宫破裂的风险是子宫任何手术的一个主要担忧。一名36岁女性接受了腹腔镜下带蒂肌瘤切除术，6周后她通过体外受精怀孕。妊娠35.5周时，她因腹痛入院。剖宫产显示子宫壁在肌瘤部位破裂。这一病例及类似病例报告表明，腹腔镜缝合不当并非腹腔镜子宫肌瘤切除术后妊娠期间子宫壁破裂的唯一相关因素。
