Chauleur Céline, Vulliez Laetitia, Seffert Pierre
Gynecology-Obstetrics Department, University Hospital Nord, Saint-Etienne, France.
Fertil Steril. 2008 Oct;90(4):1198.e7-10. doi: 10.1016/j.fertnstert.2007.10.008. Epub 2008 Feb 21.
To define a therapeutic strategy adapted to acute urine retention resulting from uterine incarceration in early pregnancy.
Case report and review of the literature.
University hospital.
PATIENT(S): Two cases of acute urine retention induced by severe fibroid incarceration in first trimester.
INTERVENTION(S): After failure of preventive measures and maneuvers to reduce the incarceration, surgery was performed as a last resort.
MAIN OUTCOME MEASURE(S): Pregnancy and birth after surgery.
RESULT(S): One miscarriage 1 week after surgery and one normal pregnancy.
CONCLUSION(S): Acute urine retention constitutes an emergency, and rapid measures are essential to avoid extremely serious maternal morbidity. We propose a therapeutic strategy for managing this condition. Simple measures may be sufficient to prevent incarceration. Otherwise, bladder catheterization should be performed rapidly, and reduction measures attempted. If this approach fails, the incarcerated uterus must be treated as a last resort by surgery.
确定一种适用于早孕期间子宫嵌顿所致急性尿潴留的治疗策略。
病例报告及文献综述。
大学医院。
两例孕早期因严重子宫肌瘤嵌顿导致急性尿潴留的病例。
在预防措施及减轻嵌顿的手法均失败后，作为最后手段进行手术。
术后妊娠及分娩情况。
一例术后1周流产，一例正常妊娠。
急性尿潴留是一种急症，迅速采取措施对于避免极其严重的孕产妇发病至关重要。我们提出了一种治疗该病症的策略。简单措施可能足以预防嵌顿。否则，应迅速进行膀胱插管，并尝试采取复位措施。若此方法失败，作为最后手段必须通过手术治疗嵌顿的子宫。
