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妊娠期子宫脱垂:两例报告及文献综述

Uterine Prolapse in Pregnancy: Two Cases Report and Literature Review.

作者信息

Zeng Chunyan, Yang Feng, Wu Chunhua, Zhu Junlin, Guan Xiaoming, Liu Juan

机构信息

Key Laboratory for Major Obstetric Diseases of Guangdong Province, Key Laboratory of Reproduction and Genetics of Guangdong Higher Education Institutes, Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, No. 63 Duobao Road, Liwan District, Guangzhou, Guangdong 510150, China.

Department of Ultrasound Medicine, Laboratory of Ultrasound Molecular Imaging, The Third Affiliated Hospital of Guangzhou Medical University, No. 63 Duobao Road, Liwan District, Guangzhou, Guangdong 510150, China.

出版信息

Case Rep Obstet Gynecol. 2018 Oct 22;2018:1805153. doi: 10.1155/2018/1805153. eCollection 2018.

DOI:10.1155/2018/1805153
PMID:30425870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6217878/
Abstract

Uterine prolapse complicating pregnancy is rare. Two cases are presented here: one patient had uterine prolapse at both her second and third pregnancy, and the other developed only once prolapse during pregnancy. This report will analyze etiology, clinical characteristics, complication, and treatment of uterine prolapse in pregnancy. Routine gynecologic examination should be carried out during pregnancy. If uterine prolapse occurred, conservative treatment could be used to prolong the gestational period as far as possible. Vaginal delivery is possible, but caesarean section seems a better alternative when prolapsed uterus cannot resolve during childbirth.

摘要

妊娠合并子宫脱垂较为罕见。本文报告两例:一例患者在第二次和第三次妊娠时均发生子宫脱垂,另一例仅在孕期发生一次子宫脱垂。本报告将分析妊娠合并子宫脱垂的病因、临床特征、并发症及治疗。孕期应进行常规妇科检查。若发生子宫脱垂,可采用保守治疗尽量延长孕周。经阴道分娩可行,但当分娩时脱垂子宫无法回纳时,剖宫产似乎是更好的选择。

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Procidentia in pregnancy: a systematic review and recommendations for practice.妊娠子宫脱垂:一项系统综述及实践建议
Int Urogynecol J. 2015 Aug;26(8):1103-9. doi: 10.1007/s00192-014-2595-3. Epub 2015 Jan 20.
2
Uterine prolapse in pregnancy: risk factors, complications and management.妊娠合并子宫脱垂:危险因素、并发症及处理
J Matern Fetal Neonatal Med. 2014 Feb;27(3):297-302. doi: 10.3109/14767058.2013.807235. Epub 2013 Jul 9.
3
Two successful natural pregnancies in a patient with severe uterine prolapse: A case report.
Case Rep Womens Health. 2025 Jan 30;45:e00690. doi: 10.1016/j.crwh.2025.e00690. eCollection 2025 Mar.
4
Unattended uterine prolapse during pregnancy in a low-income setting: a case report.低收入环境下妊娠期未处理的子宫脱垂:一例病例报告
Ann Med Surg (Lond). 2023 Jul 8;85(8):4153-4156. doi: 10.1097/MS9.0000000000001044. eCollection 2023 Aug.
5
Management of pelvic organ prolapse during pregnancy: Case report.妊娠期盆腔器官脱垂的管理:病例报告。
Case Rep Womens Health. 2022 May 14;35:e00421. doi: 10.1016/j.crwh.2022.e00421. eCollection 2022 Jul.
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Uterovaginal prolapse in a primigravida presenting in active first stage of labor: a case report.初产妇活跃期第一产程中发生的子宫阴道脱垂:病例报告。
J Med Case Rep. 2022 Apr 8;16(1):141. doi: 10.1186/s13256-022-03358-y.
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A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision.一例重度子宫脱垂患者成功经阴道分娩的病例报告及宫颈切口愈合过程的综述
Case Rep Womens Health. 2021 Dec 14;33:e00375. doi: 10.1016/j.crwh.2021.e00375. eCollection 2022 Jan.
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