Department of Gynecology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, The Xuzhou School of Clinical Medicine of Nanjing Medical University, Xuzhou Central Hospital Affiliated to Nanjing University of Chinese Medicine, Affiliated Hospital of Southeast University, Xuzhou, China.
Department of Gynecology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
J Int Med Res. 2020 Jun;48(6):300060520920404. doi: 10.1177/0300060520920404.
This study was performed to describe the clinical features, risk factors, and treatment methods of uterine torsion in pregnancy. The most common symptoms are abdominal pain, fetal heart rate changes, and failure of cervical dilatation and are often accompanied by complete or partial placental abruption. Preoperative diagnosis is challenging even with the use of ultrasound. Uterine torsion in the third trimester is correlated with the presence of multiple uterine fibroids. The causes of gravid uterine torsion vary and the clinical manifestations are nonspecific. Early diagnosis and improved detection approaches are the keys to treatment of patients with uterine torsion. However, the preoperative diagnosis remains difficult and the diagnosis is often made during cesarean section.
本研究旨在描述妊娠子宫扭转的临床特征、危险因素和治疗方法。最常见的症状是腹痛、胎心变化以及宫颈扩张失败，常伴有完全或部分胎盘早剥。即使使用超声，术前诊断也具有挑战性。妊娠晚期子宫扭转与多发性子宫肌瘤有关。妊娠子宫扭转的病因各异，临床表现无特异性。早期诊断和改进的检测方法是治疗子宫扭转患者的关键。然而，术前诊断仍然困难，诊断通常在剖宫产术中进行。
