Ceska Gynekol. 2023;88(2):92-94. doi: 10.48095/cccg202392.
Acute uterine inversion is a rare but one of the most serious complications of childbirth. This condition is defined as the collapse of the fundus into the uterine cavity. Maternal mortality and morbidity are reported to be 41%. In the management of uterine inversion, early dia-gnosis, anti-shock measures and attempting manual repositioning as soon as possible are important. If the initial manual repositioning fails, it is necessary to proceed with surgical intervention. Administration of uterotonic agents is recommended after successful reposition. This recommendation helps uterine contraction, thereby preventing recurrence of the inversion. If reposition is repeatedly unsuccessful, then a hysterectomy may be necessary. The aim of this paper is to present a case report from our department.
急性子宫内翻是一种罕见但最严重的分娩并发症之一。这种情况被定义为子宫底部塌陷到子宫腔中。据报道,产妇死亡率和发病率为 41%。在子宫内翻的治疗中,早期诊断、抗休克措施和尽快尝试手法复位非常重要。如果最初的手法复位失败,则需要进行手术干预。建议在成功复位后使用子宫收缩剂。这一建议有助于子宫收缩,从而防止内翻的再次发生。如果复位反复失败,则可能需要进行子宫切除术。本文旨在介绍我们科室的一个病例报告。