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本文引用的文献

1
[Vaginal rupture as a late complication of hysterectomy].[阴道破裂作为子宫切除术后的晚期并发症]
Ugeskr Laeger. 2009 Apr 6;171(15):1298.
2
Epidemiology of ovarian cancer.卵巢癌流行病学
Methods Mol Biol. 2009;472:413-37. doi: 10.1007/978-1-60327-492-0_20.
3
Vaginal evisceration after hysterectomy: a rare condition a gynecologist should be familiar with.子宫切除术后阴道脏器脱出：一种妇科医生应熟悉的罕见病症。
Arch Gynecol Obstet. 2009 Feb;279(2):267-70. doi: 10.1007/s00404-008-0820-3. Epub 2008 Oct 29.
4
Evisceration 5 years post abdominal hysterectomy.腹部子宫切除术后5年发生脏器去除术。
J Obstet Gynaecol Res. 2008 Jun;34(3):425-7. doi: 10.1111/j.1447-0756.2008.00778.x.
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Laparoscopic management of vaginal evisceration: case report and review of the literature.腹腔镜治疗阴道脏器脱出：病例报告及文献复习
J Minim Invasive Gynecol. 2008 Jan-Feb;15(1):119-21. doi: 10.1016/j.jmig.2007.08.618.
6
Vaginal evisceration following total laparoscopic hysterectomy: case report and review of the literature.
Aust N Z J Obstet Gynaecol. 2007 Dec;47(6):516-9. doi: 10.1111/j.1479-828X.2007.00793.x.
7
Bowel evisceration through the vaginal vault: a delayed complication following hysterectomy.经阴道穹窿肠管脱出：子宫切除术后的一种延迟并发症。
J Obstet Gynaecol. 2007 Feb;27(2):211. doi: 10.1080/01443610601157695.
8
Surveillance procedures for patients treated for epithelial ovarian cancer: a review of the literature.上皮性卵巢癌患者的监测程序：文献综述
Int J Gynecol Cancer. 2007 Jan-Feb;17(1):21-31. doi: 10.1111/j.1525-1438.2007.00826.x.
9
Vaginal evisceration during intraperitoneal chemotherapy for advanced ovarian cancer.晚期卵巢癌腹腔化疗期间的阴道脏器脱出
Gynecol Oncol. 2007 Feb;104(2):491-3. doi: 10.1016/j.ygyno.2006.10.029. Epub 2006 Dec 5.
10
Transvaginal evisceration after hysterectomy: is vaginal cuff closure associated with a reduced risk?子宫切除术后经阴道脏器脱出：阴道断端闭合是否与风险降低相关？
Eur J Obstet Gynecol Reprod Biol. 2006 Mar 1;125(1):134-8. doi: 10.1016/j.ejogrb.2005.08.009. Epub 2005 Sep 8.

卵巢癌随访中经阴道超声检查所致阴道破裂

Vaginal rupture caused by transvaginal ultrasonography in follow-up for ovarian cancer.

作者信息

Lundvall Lene, Jensen Flemming, Roed Henrik, Ottosen Christian, Ewertsen Caroline, Henriksen Birthe Merete

机构信息

Rigshospitalet, Copenhagen University Hospital, Department of Gynaecology, Blegdamsvej 9, Copenhagen OE, DK-2100, Denmark.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.05.2009.1860. Epub 2009 Aug 13.

DOI:10.1136/bcr.05.2009.1860
PMID:21841949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3027710/
Abstract

Vaginal rupture is a rare complication of hysterectomy. It is, among others, related to age and the incidence is higher in postmenopausal women. The rupture can occur spontaneously or in relation to clinical follow-up. In ovarian cancer the follow-up after surgery includes clinical examination, cancer antigen (CA)-125, and transabdominal and transvaginal ultrasonography. We experienced vaginal rupture in three patients with ovarian cancer. All patients had undergone surgery for ovarian cancer and were receiving chemotherapy. The rupture occurred shortly after transvaginal ultrasonography, performed by separate radiologists specialised in ultrasonography. All patients had acute surgery without any complications. Caution should be taken when performing transvaginal ultrasonography in hysterectomised patients and the complication of vaginal rupture should always be borne in mind.

摘要

阴道破裂是子宫切除术的一种罕见并发症。它尤其与年龄相关，在绝经后女性中的发生率更高。破裂可自发发生或与临床随访有关。在卵巢癌中，手术后的随访包括临床检查、癌抗原（CA）-125以及经腹和经阴道超声检查。我们遇到了3例卵巢癌患者发生阴道破裂。所有患者均接受了卵巢癌手术并正在接受化疗。破裂发生在由专门从事超声检查的不同放射科医生进行经阴道超声检查后不久。所有患者均接受了急诊手术，未出现任何并发症。在对接受子宫切除术的患者进行经阴道超声检查时应谨慎，并且应始终牢记阴道破裂这一并发症。