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非产科创伤性外阴血肿:保守治疗还是手术治疗?一例病例报告。

Non-obstetric traumatic vulvar hematoma: Conservative or surgical approach? A case report.

作者信息

Lapresa Alcalde María Victoria, Hernández Hernández Estrella, Bustillo Alfonso Sandra, Doyague Sánchez María José

机构信息

Department of Obstetrics and Gynecology, University Clinic Hospital of Salamanca, Salamanca, Spain.

出版信息

Case Rep Womens Health. 2019 Mar 25;22:e00109. doi: 10.1016/j.crwh.2019.e00109. eCollection 2019 Apr.

DOI:10.1016/j.crwh.2019.e00109
PMID:30976525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6441764/
Abstract

Non-obstetric vulvar hematomas are rare and few cases have been reported in the literature. There are no clinical guidelines for their management. In most cases they can be treated conservatively but in some cases surgical intervention will be necessary. We present the case of a patient with a traumatic vulvar hematoma who required surgical treatment; we also review the literature on this gynecological pathology. Our case highlights the importance of early surgical intervention to reduce associated morbidity and to minimize hospital stay.

摘要

非产科外阴血肿较为罕见,文献报道的病例较少。目前尚无针对其治疗的临床指南。大多数情况下可采取保守治疗,但在某些情况下则需要手术干预。我们报告了一例因创伤性外阴血肿而需手术治疗的患者病例;我们还回顾了关于这种妇科病理情况的文献。我们的病例突出了早期手术干预对于降低相关发病率和缩短住院时间的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/3c27753c9af8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/2b548c09cde3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/b0f6f9f2187b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/3c27753c9af8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/2b548c09cde3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/b0f6f9f2187b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6e/6441764/3c27753c9af8/gr3.jpg

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本文引用的文献

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J Clin Diagn Res. 2017 Sep;11(9):QJ01-QJ02. doi: 10.7860/JCDR/2017/30104.10542. Epub 2017 Sep 1.
2
Severe traumatic vulva hematoma in teenage girl.青少年女性严重创伤性外阴血肿
Clin Case Rep. 2015 Sep 28;3(12):975-8. doi: 10.1002/ccr3.395. eCollection 2015 Dec.
3
Post-coital genital injury in healthy women: A review.健康女性性交后生殖器损伤:综述
产后非吸收性外阴血肿延迟就诊:一例病例报告
Case Rep Womens Health. 2023 Jun 7;38:e00518. doi: 10.1016/j.crwh.2023.e00518. eCollection 2023 Jun.
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Non-obstetric vulva haematomas in a low resource setting: two case reports.资源匮乏地区的非产科外阴血肿:两例病例报告
Pan Afr Med J. 2019 Aug 20;33:314. doi: 10.11604/pamj.2019.33.314.19488. eCollection 2019.
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Non-obstetric vulval trauma.非产科外阴创伤。
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Major post-traumatic non-obstetric large haematoma: transarterial embolisation.创伤后非产科大型血肿:经动脉栓塞术
Eur J Obstet Gynecol Reprod Biol. 2011 Jan;154(1):118-9. doi: 10.1016/j.ejogrb.2010.08.012. Epub 2010 Sep 24.
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Vulvar hematoma secondary to spontaneous rupture of the internal iliac artery: clinical review.继发于髂内动脉自发性破裂的外阴血肿:临床综述
Am J Obstet Gynecol. 2009 Jan;200(1):e17-8. doi: 10.1016/j.ajog.2008.09.024.
7
Transperineal sonography of a large vulvar hematoma following blunt perineal trauma.钝性会阴创伤后大阴唇血肿的经会阴超声检查。
J Clin Ultrasound. 2006 Jul-Aug;34(6):309-12. doi: 10.1002/jcu.20188.
8
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9
Traumatic vulvar hematomas: conservative versus surgical management.创伤性外阴血肿:保守治疗与手术治疗对比
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10
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