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中隔子宫导致羊膜带综合征截肢:一例报告

Amniotic constriction band syndrome resulting in amputation caused by septate uterus: a case report.

作者信息

He Tian, Xu Hao, Sui Ping, Wang Xin, Sun Yujie

机构信息

Department of Orthopedics Surgery, Yantai Yuhuangding Hospital Affiliated to Medical College of Qingdao University, Yantai, Shandong, P.R. China.

Department of Joint Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinnan, Shandong, P.R. China.

出版信息

J Int Med Res. 2020 Sep;48(9):300060520949755. doi: 10.1177/0300060520949755.

Abstract

Amniotic band syndrome is an unusual congenital condition characterized by manifestations of disfigurement and disablement. Patients with this condition may experience an array of clinical deformities, including constriction rings, digital defects, and even visceral defects. Although this disease has been identified for centuries, its etiology is still unknown. The present male patient was born by cesarean section at 34 weeks and 4 days of gestation. At birth, an amniotic band that encircled and constricted his right upper limb was observed. Four hours after the amniotic band was cut off, amputation was performed because the right limb remained insensate. The patient suffered from amniotic band syndrome and presented with a gangrenous limb leading to amputation at birth, which is extremely rare. Moreover, the patient's mother suffered from a uterine septum, which has not been previously reported in this situation. Timely surgical treatment avoided further tissue necrosis threating the patient's life. This rare case of amniotic band syndrome provides new clinical evidence for the "extrinsic theory".

摘要

羊膜带综合征是一种罕见的先天性疾病,其特征为出现毁容和残疾表现。患有这种疾病的患者可能会出现一系列临床畸形,包括紧缩环、手指缺损,甚至内脏缺损。尽管这种疾病已被发现数百年,但其病因仍然不明。该男性患者在妊娠34周零4天时通过剖宫产出生。出生时,观察到一条羊膜带环绕并紧缩其右上臂。在切断羊膜带4小时后,由于右上肢仍无感觉,遂进行了截肢手术。该患者患有羊膜带综合征,出生时出现肢体坏疽并导致截肢,这极为罕见。此外,患者的母亲患有子宫纵隔,这种情况此前未见报道。及时的手术治疗避免了进一步的组织坏死威胁患者生命。这例罕见的羊膜带综合征病例为“外因理论”提供了新的临床证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13bd/7509729/ac7500f4ca30/10.1177_0300060520949755-fig1.jpg

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