分娩期间子宫平滑肌瘤自发性破裂。
Spontaneous rupture of uterine leiomyoma during labour.
作者信息
Ramskill Nikki, Hameed Aisha, Beebeejaun Yusuf
机构信息
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, London, UK.
出版信息
BMJ Case Rep. 2014 Sep 8;2014:bcr2014204364. doi: 10.1136/bcr-2014-204364.
Abstract
Uterine rupture in labour requires an emergency caesarean section. In women with a uterine scar, either from gynaecological surgery or from a previous caesarean section, it is well documented that the risk of rupture is higher than in those without. Spontaneous uterine rupture in a uterus with fibroids during pregnancy or labour is extremely rare. We present a case of a 33-year-old, unbooked pregnant woman from Nigeria who had a uterine rupture secondary to fibroids. She required an emergency caesarean section in labour. The fibroids were not removed. Her baby was born alive and in good condition and she made an uneventful recovery.
摘要
分娩时子宫破裂需要紧急剖宫产。有子宫瘢痕的女性，无论是因妇科手术还是既往剖宫产所致，有充分文献记载其子宫破裂风险高于无子宫瘢痕者。孕期或分娩时子宫肌瘤患者发生自发性子宫破裂极为罕见。我们报告一例33岁未登记预约的尼日利亚孕妇，她因子宫肌瘤继发子宫破裂。分娩时她需要紧急剖宫产。肌瘤未予切除。她的宝宝出生时存活且状况良好，她术后恢复顺利。
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2
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3
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BMJ Case Rep. 2012 Jan 18;2012:bcr1120115129. doi: 10.1136/bcr.11.2011.5129.
4
Uterine rupture by intended mode of delivery in the UK: a national case-control study.英国计划分娩方式所致的子宫破裂：一项全国性病例对照研究。
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5
Spontaneous prelabor uterine rupture in a primigravida: a case report and review of the literature.自发性产前子宫破裂：一例病例报告并文献复习。
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