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合并平滑肌瘤的非产褥期子宫急症内翻的管理与治疗

Management and Treatment of an Emergent Nonpuerperal Uterine Inversion With a Leiomyoma.

作者信息

Padron Michael J, Dutta Ishaan, Bazile Daphne

机构信息

Obstetrics and Gynecology, Liberty University College of Osteopathic Medicine, Lynchburg, USA.

Obstetrics and Gynecology, Bon Secours - Southside Medical Center, Petersburg, USA.

出版信息

Cureus. 2025 Aug 15;17(8):e90180. doi: 10.7759/cureus.90180. eCollection 2025 Aug.

DOI:10.7759/cureus.90180
PMID:40955209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12433716/
Abstract

Uterine inversion is a rare medical emergency that occurs when the uterus inverts and, at times, protrudes from the vagina. Uterine inversions can be puerperal, related to childbirth, or nonpuerperal, often secondary to tumors within the uterine cavity. Our case presents a nonpuerperal uterine inversion caused by a pedunculated submucosal leiomyoma. The case follows a patient from her initial presentation through the resolution of her condition with a vaginal myomectomy and abdominal hysterectomy.

摘要

子宫内翻是一种罕见的医疗急症，发生于子宫倒转，有时会从阴道突出。子宫内翻可分为产后型，与分娩相关，或非产后型，通常继发于子宫腔内的肿瘤。我们的病例展示了一例由带蒂黏膜下平滑肌瘤引起的非产后子宫内翻。该病例跟踪了一名患者，从其最初就诊到通过阴道肌瘤切除术和腹部子宫切除术病情得到解决的整个过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc8/12433716/d2c83741e5ba/cureus-0017-00000090180-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc8/12433716/f2fc7bd78970/cureus-0017-00000090180-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc8/12433716/d2c83741e5ba/cureus-0017-00000090180-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc8/12433716/f2fc7bd78970/cureus-0017-00000090180-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc8/12433716/d2c83741e5ba/cureus-0017-00000090180-i02.jpg

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本文引用的文献

1
Rare Case of Nonpuerperal Complete Uterine Inversion.非产褥期完全性子宫内翻罕见病例。
J Minim Invasive Gynecol. 2025 May;32(5):406-408. doi: 10.1016/j.jmig.2024.09.023. Epub 2024 Sep 24.
2
Subacute uterine inversion following an induced abortion in a teenage girl: a case report.少女人工流产后发生亚急性子宫内翻：病例报告。
BMC Womens Health. 2020 Oct 2;20(1):220. doi: 10.1186/s12905-020-01089-0.
3
Nonpuerperal Uterine Inversion: What the Gynaecologists Need to Know?非产褥期子宫内翻：妇科医生需要了解什么？
Obstet Gynecol Int. 2020 Jun 1;2020:8625186. doi: 10.1155/2020/8625186. eCollection 2020.
4
Non-Puerperal Uterine Inversion.非产褥期子宫内翻
J Belg Soc Radiol. 2016 Mar 10;100(1):47. doi: 10.5334/jbr-btr.974.
5
Epidemiology of uterine fibroids: a systematic review.子宫肌瘤的流行病学：系统评价。
BJOG. 2017 Sep;124(10):1501-1512. doi: 10.1111/1471-0528.14640. Epub 2017 May 13.
6
A large uterine leiomyoma leading to non-puerperal uterine inversion: A case report.巨大子宫平滑肌瘤致非产褥期子宫内翻：一例报告
Int J Reprod Biomed. 2017 Jan;15(1):55-56.