Poma P A
J Am Geriatr Soc. 1981 Jul;29(7):325-7. doi: 10.1111/j.1532-5415.1981.tb01274.x.
Uterine procidentia is relatively common among white multiparous women. The incidence increases with age in association with other predisposing factors. Conservative management of uterine prolapse is rare today, perhaps due to definitive results with surgical therapy and the high incidence of earlier hysterectomy. Still, physicians should become familiar with pessary use and its complications. Three conservatively managed cases of pessary incarceration are reported. Applications of estrogen cream improved the condition of the vagina, permitting removal of the incarcerated pessary a few day later. Careful instruction of patients and relatives about follow-up care can prevent such complications.
子宫脱垂在白人经产妇中相对常见。随着年龄增长以及其他诱发因素的存在，发病率会升高。如今，子宫脱垂的保守治疗很少见，这可能是由于手术治疗效果确切以及早期子宫切除术的高发生率。尽管如此，医生仍应熟悉子宫托的使用及其并发症。本文报告了3例子宫托嵌顿的保守治疗病例。应用雌激素乳膏改善了阴道状况，几天后得以取出嵌顿的子宫托。对患者及其亲属进行关于后续护理的仔细指导可预防此类并发症。
