Carbonne B, Cabrol D, Viltart J P, Papiernik E
Clinique Universitaire Port-Royal-Baudelocque, Paris.
J Gynecol Obstet Biol Reprod (Paris). 1994;23(6):717-8.
The authors report a case of 180 degrees torsion of the pregnant uterus. Torsion has been defined as a rotation of more than 45 degrees of the uterus around its long axis and is rare in humans. Clinical diagnosis is difficult since symptoms are either absent or non specific (cervical dystocia, painful uterine contractions, dynamic hypertonia...). Uterine torsion is often associated to pathologies of the uterus such as uterine myomas or congenital deformities, abnormal fetal presentations, pelvic tumours or abnormal pelvis. Maternal prognosis is good after surgical treatment, however, perinatal mortality remains high.
作者报告了一例妊娠子宫180度扭转的病例。扭转被定义为子宫围绕其长轴旋转超过45度，在人类中较为罕见。由于症状要么不存在，要么不具有特异性（宫颈难产、子宫疼痛性收缩、动态张力亢进……），临床诊断困难。子宫扭转常与子宫病变相关，如子宫肌瘤或先天性畸形、异常胎位、盆腔肿瘤或骨盆异常。手术治疗后母亲预后良好，然而，围产期死亡率仍然很高。
