两名先天性复杂肛门直肠畸形女性的妊娠结局：挑战与思考。
Pregnancy Outcomes in 2 Women Born with Complex Anorectal Malformations: Challenges and Considerations.
机构信息
Department of Maternal Fetal Medicine, Osaka Women's and Children's Hospital, Osaka, Japan.
Department of Urology, Osaka Women's and Children's Hospital, Osaka, Japan.
出版信息
J Pediatr Adolesc Gynecol. 2021 Jun;34(3):424-426. doi: 10.1016/j.jpag.2020.12.017. Epub 2020 Dec 31.
BACKGROUND
Complex anorectal malformations (ARMs) are a group of rare congenital malformations involving numerous anomalies that require reconstruction and can affect sexuality, fertility, and pregnancy outcomes. Few cases of pregnancy in complex ARM patients have been reported.
CASES
We report on 2 patients with ARMs who delivered 3 term infants, all by cesarean section with successful collaboration between pediatric urologists and obstetricians. Both patients fully recovered with no long-term consequences after experiencing maternal morbidities including urinary infections, clitoral abscesses, vaginal lacerations, extensive adhesive disease, bladder injury, and maternal hemorrhage.
SUMMARY AND CONCLUSION
In managing pregnancies and deliveries in women with complex ARMs, coordination between obstetricians, pediatric urologists, and pediatric surgeons is crucial.
背景
复杂肛门直肠畸形（ARM）是一组罕见的先天性畸形，涉及多种异常，需要重建，并且可能影响到性、生育和妊娠结局。关于复杂 ARM 患者妊娠的案例很少见。
病例
我们报告了 2 例 ARM 患者，她们各产下 1 名足月婴儿，均通过剖宫产分娩，儿科泌尿科医生和产科医生成功协作。两名患者在经历了尿路感染、阴蒂脓肿、阴道撕裂、广泛粘连性疾病、膀胱损伤和产妇出血等母体并发症后，均完全康复，无长期后果。
总结和结论
在管理复杂 ARM 妇女的妊娠和分娩时，产科医生、儿科泌尿科医生和小儿外科医生之间的协调至关重要。
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