Sinha G, Sinha A
Department of Obstetrics and Gynaecology, Nalanda Medical College Hospital, Patna.
J Indian Med Assoc. 1993 Jun;91(6):149-50.
Puerperal inversion of the uterus is itself a rare occurrence. Records of fertility and reproduction following an episode of uterine inversion are even rarer. The reproductive outcome following correction of uterine inversion in 6 cases seen over a span of 35 years is being reported here. One case of acute inversion was managed by manual replacement and the remaining 5 of chronic inversion were corrected by Haultain's operation. The only patient managed by manual replacement conceived thrice. She aborted once, but delivered 2 healthy live babies subsequently by caesarean section done for uterine inertia each time. Out of the 5 patients treated by Haultain's technique, 3 conceived later. One did not come for follow-up after the 5th month. Each of the other 2 had full-term normal delivery of living baby under supervision. None of the cases had any complications. It is concluded that even after operative correction of inversion, uncomplicated delivery may be anticipated. Conservative surgical management is ideal even in apparently neglected and chronic cases, as most of these women were primipara or multipara with only one or 2 living children and had a desire of future child bearing.
产后子宫内翻本身就很罕见。子宫内翻发作后的生育和生殖记录更是稀少。本文报告了在35年期间所见的6例子宫内翻矫正后的生殖结局。1例急性内翻通过手法复位处理，其余5例慢性内翻通过霍尔顿手术矫正。唯一通过手法复位处理的患者受孕3次。她曾流产1次，但随后因每次宫缩乏力行剖宫产术，产下2名健康活婴。在接受霍尔顿手术治疗的5例患者中，3例后来受孕。1例在第5个月后未前来随访。另外2例中的每例均在监护下足月顺产活婴。所有病例均无任何并发症。结论是，即使在手术矫正内翻后，也可预期无并发症的分娩。保守性手术治疗即使在明显被忽视的慢性病例中也是理想的，因为这些女性大多为初产妇或经产妇，只有1或2名存活子女，且有未来生育的愿望。
