妊娠合并宫颈静脉曲张的子宫托治疗。
Pessary for Management of Cervical Varices Complicating Pregnancy.
机构信息
Department of Obstetrics and Gynecology and the Department of Radiology, BC Natal, Barcelona Center for Maternal Fetal and Neonatal Medicine, Hospital Sant Joan de Deu, University of Barcelona, Barcelona, Spain.
出版信息
Obstet Gynecol. 2021 Sep 1;138(3):482-486. doi: 10.1097/AOG.0000000000004511.
BACKGROUND
Cervical varices complicating pregnancy are rare but can cause significant maternal and perinatal morbidity. There is limited evidence regarding the optimal management of bleeding caused by cervical varices during pregnancy.
CASE
A 38-year-old woman was admitted to the hospital at 16 weeks of gestation due to vaginal hemorrhage in the setting of cervical varices accompanied by placenta previa. A cervical pessary was placed at 21 weeks of gestation without further bleeding. Magnetic resonance imaging demonstrated variceal reduction after pessary placement, and a cesarean delivery was performed at 36 weeks of gestation without complications.
CONCLUSION
Cervical pessary should be considered as conservative option to control the bleeding associated with cervical varices during pregnancy.
背景
妊娠合并宫颈静脉曲张较为罕见，但可导致严重的母胎发病率。关于妊娠期间宫颈静脉曲张出血的最佳处理方法，证据有限。
病例
一名 38 岁女性因宫颈静脉曲张伴前置胎盘导致阴道出血而于妊娠 16 周入院。妊娠 21 周时放置宫颈托，未再出血。磁共振成像显示放置宫颈托后静脉曲张减少，并于妊娠 36 周行剖宫产术，无并发症。
结论
宫颈托应被视为控制妊娠期间宫颈静脉曲张相关出血的保守选择。
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