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活跃期分娩时广泛子宫脱垂：一例报告

Extensive uterine prolapse during active labor: a case report.

作者信息

Cingillioglu Basak, Kulhan Mehmet, Yildirim Yusuf

机构信息

Department of Gynecology and Obstetrics, Ege Maternity and Gynecology Training and Research Hospital, Gaziler cad No:468, Yenisehir, Izmir. Turkey,

出版信息

Int Urogynecol J. 2010 Nov;21(11):1433-4. doi: 10.1007/s00192-010-1151-z. Epub 2010 Apr 27.

DOI:10.1007/s00192-010-1151-z
PMID:20422152
Abstract

INTRODUCTION

Uterine prolapse is the descent of the uterus and cervix down the vaginal canal toward the introitus.

CASE REPORT

Here we report a 29-year-old pregnant woman presented with extensive uterine prolapse during active labor. Cervix was edematous and bleeding but reduction was possible. The patient was delivered by cesarean section and prophylactic bilateral uterine artery ligation was performed to prevent postpartum hemorrhage. Following delivery, uterine prolapse recovered spontaneously.

CONCLUSION

This is an extremely rare condition in which careful assessment is required to prevent complications during delivery.

摘要

引言

子宫脱垂是指子宫和宫颈沿阴道管向下朝向阴道口下降。

病例报告

在此，我们报告一名29岁的孕妇在活跃期分娩时出现广泛的子宫脱垂。宫颈水肿且有出血，但可以还纳。患者通过剖宫产分娩，并进行了预防性双侧子宫动脉结扎以预防产后出血。产后，子宫脱垂自行恢复。

结论

这是一种极为罕见的情况，需要仔细评估以预防分娩期间的并发症。

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引用本文的文献

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Uterovaginal prolapse in a primigravida presenting in active first stage of labor: a case report.初产妇活跃期第一产程中发生的子宫阴道脱垂：病例报告。
J Med Case Rep. 2022 Apr 8;16(1):141. doi: 10.1186/s13256-022-03358-y.
2
Uterine Prolapse in Pregnancy: Two Cases Report and Literature Review.妊娠期子宫脱垂：两例报告及文献综述
Case Rep Obstet Gynecol. 2018 Oct 22;2018:1805153. doi: 10.1155/2018/1805153. eCollection 2018.
3
Uterine prolapse in a primigravid woman.初产妇子宫脱垂。

本文引用的文献

1
Uterine prolapse complicating pregnancy.妊娠合并子宫脱垂
Arch Gynecol Obstet. 2007 Oct;276(4):391-2. doi: 10.1007/s00404-007-0354-0. Epub 2007 Apr 4.
2
Pelvic organ prolapse complicating third trimester pregnancy. A case report.妊娠晚期并发盆腔器官脱垂。病例报告。
Gynecol Obstet Invest. 2006;61(3):133-4. doi: 10.1159/000090034. Epub 2005 Nov 29.
3
Uterine prolapse complicating pregnancy. A case report.妊娠合并子宫脱垂。病例报告。
Obstet Gynecol Sci. 2016 May;59(3):241-4. doi: 10.5468/ogs.2016.59.3.241. Epub 2016 May 13.
4
Procidentia in pregnancy: a systematic review and recommendations for practice.妊娠子宫脱垂：一项系统综述及实践建议
Int Urogynecol J. 2015 Aug;26(8):1103-9. doi: 10.1007/s00192-014-2595-3. Epub 2015 Jan 20.
J Reprod Med. 1984 Aug;29(8):631-3.