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回肠贮袋肛管吻合术:妊娠、分娩与贮袋功能

Ileal pouch-anal anastomosis: pregnancy, delivery and pouch function.

作者信息

Scott H J, McLeod R S, Blair J, O'Connor B, Cohen Z

机构信息

Inflammatory Bowel Disease Centre, University of Toronto, Ontario, Canada.

出版信息

Int J Colorectal Dis. 1996;11(2):84-7. doi: 10.1007/BF00342465.

DOI:10.1007/BF00342465
PMID:8739832
Abstract

OBJECTIVE

To evaluate the pregnancies, deliveries and functional results of patients who have undergone and ileal pouch-anal anastomosis.

DESIGN

A retrospective survey by questionnaire.

SETTING

The study was conducted at a university hospital.

SUBJECTS

Twelve women who had undergone an ileal pouch-anal anastomosis at the Inflammatory Bowel Disease Centre, Mount Sinai Hospital and who had subsequently become pregnant, were identified from the hospital records. A follow up questionnaire was completed by all subjects.

RESULTS

Twelve patients had 16 deliveries. There were 10 vaginal deliveries and 6 caesarian sections. There were no pouch-related complication during the 16 pregnancies and there were two postpartum complications.

CONCLUSIONS

Pregnancy is safe in women with an ileal pouch-anal anastomosis. Functional results are altered minimally. Vaginal delivery is safe and obstetric reasons should determine whether a caesarian section is performed.

摘要

目的

评估接受回肠储袋肛管吻合术患者的妊娠、分娩情况及功能结果。

设计

通过问卷调查进行回顾性研究。

地点

该研究在一所大学医院开展。

研究对象

从西奈山医院炎症性肠病中心的医院记录中,识别出12名接受回肠储袋肛管吻合术且随后怀孕的女性。所有研究对象均完成了一份随访问卷。

结果

12名患者共分娩16次。其中10次为阴道分娩,6次为剖宫产。16次妊娠期间未出现与储袋相关的并发症,产后出现了2例并发症。

结论

回肠储袋肛管吻合术女性患者的妊娠是安全的。功能结果的改变极小。阴道分娩是安全的,剖宫产应根据产科原因决定是否进行。

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本文引用的文献

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Fertility and sexual and gynecologic function after ileal pouch-anal anastomosis.回肠储袋肛管吻合术后的生育能力以及性功能和妇科功能
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Ileal pouch-anal anastomosis function following childbirth. An extended evaluation.
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Successful childbirth after restorative proctocolectomy with pelvic ileal reservoir.
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炎症性肠病的手术治疗对女性生育能力的影响。
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Impact of ileal pouch-anal anastomosis on female fertility: meta-analysis and systematic review.回肠贮袋肛管吻合术对女性生育能力的影响:荟萃分析和系统评价。
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Restorative proctocolectomy and ileal pouch-anal anastomosis for familial adenomatous polyposis revisited.复发性家族性腺瘤性息肉病的直肠结肠全切除及回肠贮袋肛管吻合术
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Gut. 2006 Mar;55 Suppl 1(Suppl 1):i36-58. doi: 10.1136/gut.2005.081950c.
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Surgical Indications and Procedures in Ulcerative Colitis.溃疡性结肠炎的手术指征与手术方法
Curr Treat Options Gastroenterol. 2004 Jun;7(3):181-190. doi: 10.1007/s11938-004-0039-8.
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Ostomy and pregnancy.造口术与妊娠
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Fulminant ulcerative colitis in late pregnancy and the puerperium.妊娠晚期及产褥期暴发性溃疡性结肠炎
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