子宫旋转术在剖宫产中获取后壁下段横行切口：病例报告及文献复习。
Rotation of the uterus to obtain a lower transverse incision in the posterior wall in a cesarean section: a case report and literature review.
机构信息
Department of Gynecology and Obstetrics, Development and Related Diseases of Women and Children Key Laboratory of Sichuan Province, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, P.R. China.
出版信息
J Matern Fetal Neonatal Med. 2023 Dec;36(1):2217988. doi: 10.1080/14767058.2023.2217988.
OBJECTIVE
To demonstrate that cesarean section with a transverse incision at the lower posterior wall of the uterus is suitable for some special obstetric cases.
CASE REPORT
A 35-year-old primigravida with a previous surgical history of laparoscopic myomectomy underwent elective cesarean section at 39 weeks and 2 days of gestation. During surgery, there were severe pelvic adhesions and engorged vessels on the anterior wall. Considering safety, we rotated the uterus 180 degrees and made a lower transverse incision on the posterior wall. The infant was healthy and the patient had no complications.
CONCLUSIONS
A low transverse incision in the posterior uterine wall is safe and effective when the incision of the anterior wall encounters a dilemma, especially in patients with severe pelvic adhesions. We recommended this approach should be done in selected cases.
目的
证明子宫下段后壁横行切口剖宫产术适用于某些特殊产科病例。
病例报告
一名 35 岁初产妇，既往有腹腔镜子宫肌瘤切除术史，孕 39 周+2 天行择期剖宫产术。术中发现严重的盆腔粘连和前壁充血的血管。考虑到安全因素，我们将子宫旋转 180 度，并在后壁做一个低位横行切口。婴儿健康，患者无并发症。
结论
当前壁切口遇到困难时，子宫下段后壁的低位横行切口是安全有效的，特别是在有严重盆腔粘连的患者中。我们建议在选择病例中采用这种方法。
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