Smalbraak I, Bleker O P, Schutte M F, Treffers P E
Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 1991 Apr 16;39(2):151-5. doi: 10.1016/0028-2243(91)90080-5.
Four cases of incarceration of the retroverted gravid uterus are described. Typical observations were: a rather low fundal height at vaginal examination, no detectable uterine cervix, and the fetal presenting part deeply impacted in the pelvic cavity. One spontaneous correction in the third trimester is described. In general a cesarean section under general anesthesia is indicated. Preoperative recognition of retroversion is important and may prevent intraoperative complications. Three cases showed micturition problems in the second trimester. All pregnant women with second trimester micturition problems should be examined for a possible retroverted uterus.
本文描述了4例后倾妊娠子宫嵌顿的病例。典型表现为：阴道检查时宫底高度较低，未触及子宫颈，胎儿先露部深深嵌顿于盆腔内。文中描述了1例在孕晚期自行复位的病例。一般来说，应在全身麻醉下行剖宫产术。术前识别子宫后倾很重要，可预防术中并发症。3例在孕中期出现排尿问题。所有孕中期有排尿问题的孕妇均应检查是否存在子宫后倾。
