Morimatsu Yukako, Matsubara Shigeki, Higashiyama Nobuhiko, Kuwata Tomoyuki, Ohkuchi Akihide, Izumi Akio, Shibahara Hiroaki, Suzuki Mitsuaki
Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
Reprod Med Biol. 2007 Aug 6;6(3):175-177. doi: 10.1111/j.1447-0578.2007.00182.x. eCollection 2007 Sep.
Although laparoscopic adenomyomectomy may be a possible risk factor for uterine rupture in subsequent pregnancy, few reports have described it. A 35-year-old woman became pregnant 1 month after laparoscopic adenomyomectomy. At the 28th week, uterine contraction occurred, leading to intravenous ritodrine infusion. Severe abdominal pain and a non-reassuring fetal heart rate occurred abruptly and an emergency cesarean section was carried out. The uterus ruptured at the site of previous surgery of the uterine body, which was reconstructed. The mother and the infant did well postoperatively. We report the second case of uterine rupture during pregnancy subsequent to laparoscopic adenomyomectomy. A history of adenomyomectomy and a short interval to subsequent pregnancy may be risk factors for uterine rupture. (Reprod Med Biol 2007; : 175-177).
尽管腹腔镜下子宫腺肌病切除术可能是后续妊娠子宫破裂的一个潜在危险因素，但相关报道较少。一名35岁女性在腹腔镜下子宫腺肌病切除术后1个月怀孕。孕28周时出现子宫收缩，遂静脉输注利托君。随后突然出现严重腹痛及胎儿心率异常，行急诊剖宫产。子宫在子宫体先前手术重建部位发生破裂。母婴术后情况良好。我们报道了腹腔镜下子宫腺肌病切除术后妊娠期间子宫破裂的第二例病例。子宫腺肌病切除术史及与后续妊娠间隔时间短可能是子宫破裂的危险因素。（《生殖医学与生物学》2007年；：175 - 177）
