弥漫性子宫腺肌病子宫保留手术后子宫壁厚度与妊娠结局的相关性
Association of uterine wall thickness with pregnancy outcome following uterine-sparing surgery for diffuse uterine adenomyosis.
作者信息
Otsubo Yasuo, Nishida Masato, Arai Yuko, Ichikawa Ryota, Taneichi Akiyo, Sakanaka Miyako
机构信息
Department of Obstetrics and Gynecology, National Hospital Organization, Kasumigaura Medical Center, Tsuchiura, Ibaraki, Japan.
Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
出版信息
Aust N Z J Obstet Gynaecol. 2016 Feb;56(1):88-91. doi: 10.1111/ajo.12419. Epub 2015 Oct 30.
BACKGROUND
The risk of uterine rupture is a major concern for women who become pregnant after undergoing an adenomyomectomy.
AIMS
The aim of this study was to investigate the association of uterine wall thickness with pregnancy outcome.
MATERIALS AND METHODS
Uterine wall thickness was measured using sonography and/or magnetic resonance imaging in 23 pregnant women who underwent uterine-sparing surgery for diffuse uterine adenomyosis prior to conception.
RESULTS
Of the 23 women, 10 (43.5%) had an early miscarriage and 13 (56.5%) proceeded to delivery. Of the ten early miscarriage cases, two had a uterine rupture caused by excision of the uterine wall to within 7 mm.
CONCLUSIONS
Wall thickness of the excised uterus was highly associated with uterine rupture. We concluded that optimum wall thickness for conception and preventing uterine rupture during pregnancy may range from 9 to 15 mm.
背景
子宫破裂风险是接受子宫腺肌病切除术后怀孕女性的主要担忧。
目的
本研究旨在调查子宫壁厚度与妊娠结局之间的关联。
材料与方法
对23名在受孕前因弥漫性子宫腺肌病接受保留子宫手术的孕妇，使用超声检查和/或磁共振成像测量子宫壁厚度。
结果
23名女性中，10名（43.5%）发生早期流产，13名（56.5%）顺利分娩。在10例早期流产病例中，2例因子宫壁切除至7毫米以内而发生子宫破裂。
结论
切除子宫的壁厚度与子宫破裂高度相关。我们得出结论，受孕及预防孕期子宫破裂的最佳壁厚度可能在9至15毫米之间。
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