Tannous W, Hamou J, Henry-Suchet J, Achard B, Lelaidier C, Belaisch-Allart J
CH Jean Rostand, Sèvres.
Presse Med. 1996 Feb 3;25(4):159-61.
Two cases of obstetrical uterine rupture after operative hysteroscopy without perforation are described. One was treated for uterus septus, the other one for synechia. However, the uterus could have been fragilized in both cases: one had been perforated by a uterine device, the other case had a past history of repeated curetage. A review of the literature shows 7 other similar cases, published over last ten years, 6 of them having a past history of perforation during the operative hysteroscopy (5 cases) or by an intra-uterine device. These obstetrical complications, although rare, can lead to consider a uterus treated by hysteroscopy as being at risk for obstetrical rupture.
本文描述了两例宫腔镜手术后未发生穿孔的产科子宫破裂病例。其中一例因子宫纵隔接受治疗，另一例因粘连接受治疗。然而，在这两例中子宫都可能已经变得脆弱：一例曾被子宫器械穿孔，另一例有反复刮宫史。文献回顾显示，在过去十年中还发表了另外7例类似病例，其中6例有宫腔镜手术期间（5例）或宫内节育器穿孔史。这些产科并发症虽然罕见，但可能导致认为接受宫腔镜治疗的子宫有产科破裂风险。
