Fylstra Donald L
Department of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas Street, CBS 634F, Charleston, SC 29425, USA.
J Reprod Med. 2009 Oct;54(10):649-51.
Pregnancy after hysterectomy is very rare, with fewer than 40 cases reported in the English-language literature. The majority of cases are diagnosed in the early posthysterectomy, postoperative period, indicating that the pregnancy was present at the time of hysterectomy. Cases diagnosed remotely from the time of hysterectomy result from a fistulous tract allowing sperm access to the peritoneal cavity.
A 37-year-old woman 6 years since a supracervical cesarean hysterectomy was treated for a ruptured ovarian pregnancy.
A woman with intact ovaries presenting with abdominal pain, despite a prior hysterectomy, should be considered at risk for ectopic pregnancy. The presence of a cervix may increase that risk.
子宫切除术后妊娠极为罕见，英文文献报道的病例不足40例。大多数病例在子宫切除术后早期被诊断，这表明妊娠在子宫切除时就已存在。在子宫切除术后较长时间才被诊断的病例是由于存在瘘管，使精子能够进入腹腔。
一名37岁女性，在次全子宫切除术后6年因卵巢妊娠破裂接受治疗。
即使既往有子宫切除术史，出现腹痛且卵巢完整的女性也应被视为有异位妊娠风险。宫颈的存在可能会增加这种风险。
