Melius F A, Julian T M, Nagel T C
Department of Obstetrics and Gynecology, University of Wisconsin, Madison.
Obstet Gynecol. 1991 Nov;78(5 Pt 2):919-21.
Two cases of prolonged intrauterine retention of fetal bones are presented to show that antecedent abortion may, though uncommonly, play a role in current gynecologic complaints. In these two cases, symptoms dated to antecedent abortions treated with D&C 13 years and 14 months before diagnosis, respectively. Complaints included secondary infertility, dysmenorrhea, and dysfunctional uterine bleeding. Hysteroscopy was necessary to make the correct diagnosis of retained fetal bones. In both cases, hysteroscopic surgery was unsuccessful in removing all the bony fragments or relieving symptoms. Though retained fetal bones are an uncommon cause of gynecologic problems, these cases show the necessity of hysteroscopy for diagnosis of persistent gynecologic problems when intrauterine pathology is suspect. These cases also demonstrate that although hysteroscopy is extremely useful diagnostically, it may not be successful therapeutically even for the persistent surgeon.
本文报告两例胎儿骨骼宫内长期残留的病例，以表明既往流产虽不常见，但可能在当前妇科疾病中起作用。在这两例病例中，症状分别可追溯至诊断前13年和14个月接受刮宫术治疗的既往流产。症状包括继发性不孕、痛经和功能失调性子宫出血。宫腔镜检查对于正确诊断胎儿骨骼残留是必要的。在这两例病例中，宫腔镜手术均未能成功清除所有骨碎片或缓解症状。尽管胎儿骨骼残留是妇科问题的罕见原因，但这些病例表明，当怀疑有宫内病变时，宫腔镜检查对于诊断持续性妇科问题是必要的。这些病例还表明，尽管宫腔镜检查在诊断方面极为有用，但即使对于经验丰富的外科医生来说，其治疗效果也可能并不理想。
