Massinde Anthony N, Ngwalida Nnhandi, Gumodoka Balthazar
Department of Obstetrics and Gynecology, Bugando Medical Center, Mwanza, Tanzania.
Tanzan J Health Res. 2011 Apr;13(2):142-4. doi: 10.4314/thrb.v13i2.63346.
Massive vulval oedema is not common during pregnancy, but when it develops, it often is associated with patient discomfort and management challenges. Two pregnant women presented to Bugando Medical Centre in Mwanza, Tanzania, with massive swelling of the vulva at 39 weeks and 32 weeks of gestation. Both women were found to have multiple gestations. Despite medical management, there was no resolution of the oedema. In both cases, vulval oedema subsided after being delivered by caesarean section. Major vulval oedema during pregnancy is a serious issue. If not treated appropriately, it can lead to major complications of increased blood loss and poor wound healing. Abdominally delivery is the preferred mode of delivery at our institution for massive vulval oedema.
妊娠期间出现大量外阴水肿并不常见，但一旦发生，往往会给患者带来不适并造成管理上的挑战。两名孕妇分别在妊娠39周和32周时前往坦桑尼亚姆万扎的布甘多医疗中心，均出现了外阴大量肿胀的情况。两名女性均被发现怀有多胎。尽管进行了药物治疗，但水肿并未消退。在这两个病例中，剖宫产术后外阴水肿均消退。妊娠期间严重的外阴水肿是一个严重问题。如果治疗不当，可能会导致失血增加和伤口愈合不良等严重并发症。在我们机构，对于大量外阴水肿，经腹分娩是首选的分娩方式。
