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腹腔积血:环形电外科切除术的一种并发症。

Hemoperitoneum: a complication of loop electrosurgical excision procedure.

作者信息

Cho Angela, Park Sunwha, Park Soyun, Kang Hye Sim, Shim Soon Sup, Park Chul Min, Kim Sung Yob

机构信息

Department of Obstetrics and Gynecology, Ewha Womans University Mokdong Hospital, Seoul, Korea.

Department of Obstetrics and Gynecology, Jeju National University Hospital, Jeju, Korea.

出版信息

Obstet Gynecol Sci. 2019 Mar;62(2):138-141. doi: 10.5468/ogs.2019.62.2.138. Epub 2019 Feb 11.

DOI:10.5468/ogs.2019.62.2.138
PMID:30918883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6422840/
Abstract

Loop electrosurgical excision procedure (LEEP) is commonly performed for the management of cervical intraepithelial neoplasia. Although LEEP is considered to be a relatively simple procedure, several unexpected complications have been reported in the literature. Herein, we report a case of hemoperitoneum caused by uterine perforation following LEEP. Blood collection in pelvic cavity and two small defects of the uterus were confirmed by diagnostic laparoscopy. The defects were sutured and the patient recovered well after the operation.

摘要

环形电切术(LEEP)常用于治疗宫颈上皮内瘤变。尽管LEEP被认为是一种相对简单的手术,但文献中已报道了一些意外并发症。在此,我们报告一例LEEP术后子宫穿孔导致腹腔积血的病例。诊断性腹腔镜检查证实盆腔有积血和子宫的两个小缺损。对缺损进行了缝合,患者术后恢复良好。

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J Reprod Med. 1996 Oct;41(10):729-32.
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Evaluating a novel 3D printed model for simulating Large Loop Excision of the Transformation Zone (LLETZ).评估一种用于模拟转化区大环形切除术(LLETZ)的新型3D打印模型。
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本文引用的文献

1
Pseudoaneurysm of uterine artery causing intra-abdominal and vaginal bleeding after cervical conization.宫颈锥切术后子宫动脉假性动脉瘤导致腹腔及阴道出血
Obstet Gynecol Sci. 2015 May;58(3):256-9. doi: 10.5468/ogs.2015.58.3.256. Epub 2015 May 19.
2
Vaginal evisceration: an unexpected complication of conization.阴道脏器脱出:锥切术的一种意外并发症。
Case Rep Obstet Gynecol. 2014;2014:983682. doi: 10.1155/2014/983682. Epub 2014 Nov 19.
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Secondary prevention of cervical cancer part 3: evidence-based management of women with cervical intraepithelial neoplasia.
Prognostic value of HPV 16/18 genotyping and geminin mRNA quantification in low-grade cervical squamous intraepithelial lesion.
HPV 16/18 基因分型和 geminin mRNA 定量在低级别宫颈鳞状上皮内病变中的预后价值。
Bioengineered. 2021 Dec;12(2):11482-11489. doi: 10.1080/21655979.2021.2009959.
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The development of "automated visual evaluation" for cervical cancer screening: The promise and challenges in adapting deep-learning for clinical testing: Interdisciplinary principles of automated visual evaluation in cervical screening.用于宫颈癌筛查的“自动化视觉评估”的发展:将深度学习应用于临床检测的前景与挑战:宫颈癌筛查中自动化视觉评估的跨学科原则。
Int J Cancer. 2022 Mar 1;150(5):741-752. doi: 10.1002/ijc.33879. Epub 2021 Dec 6.
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Pseudoaneurysm of the uterine artery post loop electrosurgical excision procedure.子宫动脉假性动脉瘤经环形电切术后。
BMC Womens Health. 2021 Aug 16;21(1):298. doi: 10.1186/s12905-021-01446-7.
子宫颈癌的二级预防 第3部分:子宫颈上皮内瘤变女性的循证管理
Clin Obstet Gynecol. 2014 Jun;57(2):302-15. doi: 10.1097/GRF.0000000000000034.
4
Peritonitis due to iatrogenic colpotomy after large loop excision of the transformation zone (LLETZ) in a patient with cervical intraepithelial neoplasia III: our experience of a rare case with review of the literature.宫颈上皮内瘤变III级患者在转化区大环形切除术(LLETZ)后因医源性阴道切开术导致的腹膜炎:我们对这一罕见病例的经验及文献复习
Eur J Gynaecol Oncol. 2012;33(2):214-6.
5
Traction suture of the cervix: a novel procedure with loop electrosurgical excision.宫颈牵引缝合术:一种采用环形电切术的新方法。
Obstet Gynecol. 2003 Nov;102(5 Pt 1):1063-5. doi: 10.1016/j.obstetgynecol.2003.06.002.
6
Intra-abdominal bleed following LLETZ.宫颈环形电切术(LLETZ)后腹腔内出血
J Obstet Gynaecol. 2002 Jan;22(1):99-100. doi: 10.1080/01443610211117.
7
Sonographic size of uterus and ovaries in pre- and postmenopausal women.绝经前后女性子宫和卵巢的超声测量大小
Ultrasound Obstet Gynecol. 1996 Jan;7(1):38-42. doi: 10.1046/j.1469-0705.1996.07010038.x.