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子宫口早期完全闭合可预防习惯性流产和早产(作者译)

[Early total occlusion of os uteri prevent habitual abortion and premature deliveries (author's transl)].

作者信息

Saling E

出版信息

Z Geburtshilfe Perinatol. 1981 Oct;185(5):259-61.

PMID:7032099
Abstract

Repeated late abortions and high-risk, low-chance premature births are among the problems of obstetrics and perinatal medicine still to be solved. It seems that a solution is on its way, through the early total occlusion of the os uteri introduced by us - a solution for at least some of these highly problematic cases. The special advantage of this measure is considered to be the avoidance of an infection ascending to the cervix and to the lower egg-pole resulting in abortion or premature birth. Early total occlusion of the os uteri has been performed on ten women; three have since been delivered of healthy children approximately at term. Six further pregnancies are proceeding normally, five without any phenomena worth reporting, so that further successes can be expected. In one case the external os uteri has become recanalized, and there are premature contractions. In one patient premature delivery occurred after 24/5 weeks of pregnancy with subsequent death of the highly immature newborn post partum.

摘要

反复晚期流产以及高危、低概率早产仍然是妇产科学和围产医学中有待解决的问题。通过我们所采用的早期完全封闭子宫颈管的方法,似乎一种解决方案正在出现——至少可以解决其中一些极具问题的病例。该措施的特殊优势在于可避免感染向上蔓延至子宫颈和子宫下段导致流产或早产。已经对10名女性实施了早期完全封闭子宫颈管手术;其中3名女性此后已足月分娩出健康婴儿。另有6例妊娠进展正常,5例未出现任何值得报告的现象,因此有望取得更多成功。有1例子宫颈外口重新开放,且出现了早产宫缩。1例患者在妊娠24/5周后发生早产,产后极不成熟的新生儿随后死亡。

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