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宫腔粘连(阿什曼综合征)治疗后的产科并发症。

Obstetric complications after treatment of intrauterine synechiae (Asherman's syndrome).

作者信息

Jewelewicz R, Khalaf S, Neuwirth R S, Vande Wiele R L

出版信息

Obstet Gynecol. 1976 Jun;47(6):701-5.

PMID:934560
Abstract

This review comprises 36 patients who were treated for Asherman's syndrome from 1968 to 1974 at the Sloane Hospital for Women. Of the 18 patients who later conceived only 6 had uncomplicated term deliveries. Four had premature deliveries resulting in neonatal death. Three had placenta accreta and postpartum hemorrhage, necessitating a cesarean hysterectomy in 1. Two patients required cesarean section for complications due to the syndrome, 2 had spontaneous abortion, and 1 had a cervical pregnancy requiring total hysterectomy. Only 10 babies survived. The incidence and severity of complications in conceptions following treatment for Asherman's syndrome is high, and the obstetrician must be prepared to manage them.

摘要

本综述涵盖了1968年至1974年在斯隆女子医院接受阿谢曼综合征治疗的36例患者。在后来怀孕的18例患者中,只有6例顺利足月分娩。4例早产导致新生儿死亡。3例发生胎盘植入和产后出血,其中1例需要行剖宫产子宫切除术。2例因该综合征的并发症需要剖宫产,2例自然流产,1例宫颈妊娠需要行全子宫切除术。只有10名婴儿存活。阿谢曼综合征治疗后妊娠并发症的发生率和严重程度很高,产科医生必须做好应对准备。

相似文献

1
Obstetric complications after treatment of intrauterine synechiae (Asherman's syndrome).宫腔粘连(阿什曼综合征)治疗后的产科并发症。
Obstet Gynecol. 1976 Jun;47(6):701-5.
2
[The use of intrauterine contraceptive devices in the treatment and prevention of Asherman's syndrome].[宫内节育器在阿谢曼综合征治疗和预防中的应用]
Orv Hetil. 1976 Feb 15;117(7):411-2.
3
Intrapartum spontaneous uterine rupture following uncomplicated resectoscopic treatment of Asherman's syndrome.
Chang Gung Med J. 2005 Feb;28(2):123-7.
4
Asherman's syndrome: a critique and current review.阿谢曼综合征:一篇评论与当前综述
Fertil Steril. 1973 Sep;24(9):722-35. doi: 10.1016/s0015-0282(16)39918-6.
5
[Diagnostic and therapy of the asherman's syndrome (author's transl)].
Cesk Gynekol. 1975 Aug;40(7):502-3.
6
[Treatment of Asherman's syndrome (intra-uterine synechia) (author's transl)].阿谢曼综合征(宫腔粘连)的治疗(作者译)
Zentralbl Gynakol. 1980;102(7):386-92.
7
A review of Asherman's syndrome, and results of modern treatment.
Int J Fertil. 1988 Jan-Feb;33(1):14-24.
8
Uterine synechiae: variations in severity and some conditions which may be conducive to severe adhesions.
Int J Fertil. 1977;22(2):98-103.
9
Treatment of minimal and moderate intrauterine adhesions (Asherman's syndrome).轻度和中度宫腔粘连(阿谢曼综合征)的治疗。
J Reprod Med. 1985 Oct;30(10):769-72.
10
[Diagnosis of Asherman's syndrome (intrauterine synechiae)].[阿谢曼综合征(宫腔粘连)的诊断]
Zentralbl Gynakol. 1976;98(8):495-503.

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J Assist Reprod Genet. 2006 Jul-Aug;23(7-8):337-42. doi: 10.1007/s10815-006-9053-1.
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Asherman's syndrome: a review of the literature, and a husband and wife's 20-year world-wide experience.阿谢曼综合征:文献综述及一对夫妻的20年全球经验
J R Soc Med. 1990 Sep;83(9):576-80. doi: 10.1177/014107689008300915.