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子宫扭转:妇产科急症

Torsion in Uterus: An Obstetrical and Gynaecological Emergency.

作者信息

Singh Sukanya, Tayade Surekha, Patel Drashti

机构信息

Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 24;16(2):e54839. doi: 10.7759/cureus.54839. eCollection 2024 Feb.

Abstract

Uterine torsion is defined as torsion of the uterus along its longitudinal axis greater than 45 degrees. It is observed in all age groups of the reproductive period, in all parity groups, and at all stages of pregnancy. Torsion from 60 degrees to 720 degrees has been described. It is not possible to clarify why it occurs, but numerous abnormalities have appeared with uterine torsion. It is a rare complication that can result in placental abruption and intrauterine foetal death. Pregnancy, giant fibroids, and ovarian cysts are among the most common causes. Vague clinical attributes make diagnosis challenging pre-operatively and can be missed on routine ultrasound. Being a rare life-threatening condition, it necessitates a high level of concern for diagnosis and prompt intervention to optimise results. This review will help the healthcare worker to understand the various presentation of uterine torsion and their management by appropriately and timely diagnosing it.

摘要

子宫扭转被定义为子宫沿其纵轴扭转超过45度。在生殖期的所有年龄组、所有产次组以及妊娠的所有阶段均可观察到。文献中描述的扭转角度范围为60度至720度。目前尚无法明确其发生原因,但子宫扭转会伴随出现许多异常情况。它是一种罕见的并发症,可导致胎盘早剥和宫内胎儿死亡。妊娠、巨大子宫肌瘤和卵巢囊肿是最常见的病因。模糊的临床特征使得术前诊断具有挑战性,常规超声检查时可能会漏诊。作为一种罕见的危及生命的疾病,需要高度重视诊断并及时干预以优化治疗效果。本综述将帮助医护人员通过适当且及时的诊断来了解子宫扭转的各种表现及其处理方法。

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Torsion in Uterus: An Obstetrical and Gynaecological Emergency.子宫扭转:妇产科急症
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本文引用的文献

1
A case report of torsion of the gravid uterus caused by pelvic adhesion.盆腔粘连致妊娠子宫扭转1例报告
Clin Case Rep. 2024 Jan 12;12(1):e8384. doi: 10.1002/ccr3.8384. eCollection 2024 Jan.
2
Uterine Torsion: A Rare Condition in a Nullipara Woman.子宫扭转:未育女性中的罕见病症。
Cureus. 2023 Nov 13;15(11):e48751. doi: 10.7759/cureus.48751. eCollection 2023 Nov.
6
A Challenge in Diagnosis and Management: Uterine Torsion in Childhood.诊断与处理难点:儿童子宫扭转。
J Pediatr Adolesc Gynecol. 2021 Feb;34(1):61-64. doi: 10.1016/j.jpag.2020.09.003. Epub 2020 Oct 1.
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Acute gravid uterus torsion: A rare and dangerous obstetric emergency.
Int J Gynaecol Obstet. 2019 Dec;147(3):414-415. doi: 10.1002/ijgo.12954. Epub 2019 Sep 17.

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