Müller H G
Zentralbl Gynakol. 1979;101(5):328-31.
A transverse-oval os uteri or Emmet' tear are the result of a tear at the mouth of the womb during final cervical dilatation. Furthermore, they are the cause of a more or less developed ectopia and combined cervical and vaginal fluor with concomitant colpitis. These alterations also represent the foundation not the cause, of a development of cervical carcinoma. In the sense of prophylactic reasoning the elimination of the symptoms mentioned above should be considered. -- The use of the speculum and care of the suture of the nearly always torn os uteri after each delivery must be the first step to avoid the development of a collum carcinoma. -- In the second place, electrocoagulation or shallow conisation with subsequent coagulation and cryo-surgical treatment of the ectopia has to be carried out. -- Therefore the obstetrician decides whether the patient -- in view of developing a collum carcinoma -- becomes a risk patient. He has to ensure that an almost normal portio uteri returns without ectropion and Emmet'tear and also without cervical and vaginal fluor, which could trouble the patient considerably. -- After every delivery, therefore, the speculum should be used. At the same time a cervix tear haemorrhage, one of the most frequent exsanguinations, can be avoided.
横椭圆形子宫口或埃米特撕裂是在宫颈最终扩张时子宫口撕裂的结果。此外，它们是或多或少发展的子宫颈外翻以及合并宫颈和阴道荧光伴发阴道炎的原因。这些改变也是子宫颈癌发展的基础而非原因。从预防性推理的角度来看，应考虑消除上述症状。——使用窥器并在每次分娩后对几乎总是撕裂的子宫口进行缝合护理，必须是避免子宫颈癌发展的第一步。——其次，必须对子宫颈外翻进行电凝或浅锥切，随后进行电凝和冷冻手术治疗。——因此，产科医生要决定患者——鉴于子宫颈癌的发展——是否成为高危患者。他必须确保子宫颈外口几乎恢复正常，没有外翻和埃米特撕裂，也没有宫颈和阴道荧光，否则会给患者带来极大困扰。——因此，每次分娩后都应使用窥器。同时，可避免宫颈撕裂出血，这是最常见的出血情况之一。
