妊娠子宫扭转180度剖宫产时的故意后低位横切口：一例报告
Deliberate posterior low transverse incision at cesarean section of a gravid uterus in 180 degrees of torsion: a case report.
作者信息
Albayrak Mustafa, Benian Ali, Ozdemir Ismail, Demiraran Yavuz, Guralp Onur
机构信息
Department of Obstetrics and Gynecology, Duzce University, School of Medicine, Turkey.
出版信息
J Reprod Med. 2011 Mar-Apr;56(3-4):181-3.
BACKGROUND
Torsion of the term gravid uterus is a rare, potentially serious, unexpected obstetric pathology and is almost always diagnosed at cesarean section. We report a case of deliberate posterior low transverse segment hysterotomy in irreducible uterine torsion at 41 weeks' gestation,
CASE
A 29-year-old nullipara with a 15-cm uterine fibroid was admitted at 41 weeks' gestation with regular uterine contractions. Cesarean delivery was carried out for obstructed labor. Intraoperatively, 1800 levotorsion of the uterus was diagnosed. Following unsuccessful attempts at detorsioning the uterus, a posterior low transverse hysterotomy was performed for delivery.
CONCLUSION
Delivery by a posterior low transverse hysterotomy may be feasible in uterine torsion after unsuccessful attempts at detorsioning the uterus during cesarean section at term. (
背景
足月妊娠子宫扭转是一种罕见的、潜在严重的、意外的产科病理情况，几乎总是在剖宫产时被诊断出来。我们报告一例在妊娠41周时子宫扭转无法复位而行故意的低位横切口子宫下段剖宫产术的病例。
病例
一名29岁未产妇，有一个15厘米的子宫肌瘤，在妊娠41周时因规律宫缩入院。因产程受阻行剖宫产。术中诊断子宫左旋180°。在尝试扭转子宫失败后，为分娩行低位横切口子宫下段剖宫产术。
结论
足月剖宫产时尝试扭转子宫失败后，行低位横切口子宫下段剖宫产术分娩可能是可行的。
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