子宫颈肌瘤切除术是否需要行腹内宫颈环扎术？一例病例报告。
Is an abdominal cerclage indicated with a cervical myomectomy? A case report.
作者信息
Simon Vanille, Bergeron Marie-Ève, Lamarre André, Laberge Philippe, Maheux-Lacroix Sarah
机构信息
Department of Obstetrics and Gynecology, CHU de Québec- Université Laval, 2705 boulevard Laurier, Quebec City, G1V 4G2 QC, Canada.
Department of Interventional Radiology, CHU de Québec- Université Laval, 2705 boulevard Laurier, Quebec City, G1V 4G2 QC, Canada.
出版信息
Case Rep Womens Health. 2021 Jul 21;32:e00345. doi: 10.1016/j.crwh.2021.e00345. eCollection 2021 Oct.
INTRODUCTION
Cervical myomectomy can compromise cervical integrity and the risk of subsequent cervical incompetence is unclear. In this case report, the literature on cervical myomectomies is reviewed as well as that on the potential benefits of cervical cerclage.
CASE PRESENTATION
A 30-year-old woman, nulligravida, with a 12 cm cervical leiomyoma consulted for heavy menstrual bleeding and pelvic pain. After failure of multiple medical therapies, a laparoscopic cervical myomectomy was successfully performed after pre-operative uterine artery embolization using absorbable gelatin sponges to reduce surgical blood loss.
DISCUSSION
A concomitant laparoscopic cerclage was achieved in order to prevent cervical incompetence, given that the full thickness of the anterior cervix was penetrated during the myomectomy.
引言
宫颈肌瘤切除术可能会损害宫颈完整性，而后续发生宫颈机能不全的风险尚不清楚。在本病例报告中，回顾了有关宫颈肌瘤切除术的文献以及宫颈环扎术的潜在益处。
病例介绍
一名30岁未孕女性，患有12厘米的宫颈平滑肌瘤，因月经过多和盆腔疼痛前来就诊。多种药物治疗失败后，术前使用可吸收明胶海绵进行子宫动脉栓塞以减少手术失血，随后成功进行了腹腔镜宫颈肌瘤切除术。
讨论
鉴于肌瘤切除术中前宫颈全层被穿透，为预防宫颈机能不全，同时进行了腹腔镜宫颈环扎术。
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