Lettieri L, Rodis J F, McLean D A, Campbell W A, Vintzileos A M
Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington.
Obstet Gynecol Surv. 1994 Sep;49(9):642-6.
Retroversion of the first trimester uterus occurs in 6 to 19 per cent of all pregnancies and usually does not cause problems. If the uterus remains retroverted as the pregnancy advances, it may become wedged into the pelvic cavity. This complication is referred to as uterine incarceration which can lead to spontaneous abortion, preterm labor, uterine dystocia, and inadvertent incision into the cervix or the bladder during cesarean section in cases of unrecognized incarceration. Seven cases of uterine incarceration are presented with a detailed review including clinical signs and symptoms, physical findings, ultrasound findings, and treatment modalities for each stage of pregnancy. Moreover, we present a new method of treatment for second trimester uterine incarceration.
孕早期子宫后倾在所有妊娠中发生率为6%至19%，通常不会引发问题。随着妊娠进展，如果子宫持续后倾，它可能会楔入盆腔。这种并发症被称为子宫嵌顿，可导致自然流产、早产、子宫难产，以及在未识别出嵌顿的情况下剖宫产时意外切开宫颈或膀胱。本文报告了7例子宫嵌顿病例，并对其进行了详细回顾，包括临床症状和体征、体格检查结果、超声检查结果以及妊娠各阶段的治疗方式。此外，我们还介绍了一种孕中期子宫嵌顿的新治疗方法。
