Witt B R
Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA.
J Reprod Med. 1999 Jan;44(1):68-70.
Hematotrachelos, accumulation of menstrual blood in a dilated cervix, is a rare disorder accompanying cervical stenosis. In this report, hematotrachelos was diagnosed by vaginal sonography and treated in a novel way.
A 39-year-old woman with progressive hypomenorrhea following dilation and curettage for dysfunctional uterine bleeding was diagnosed with hematotrachelos using vaginal sonography. Cervical dilatation and evacuation of the hematotrachelos were performed. A latex nasopharyngeal airway was utilized as a temporary stent and allowed drainage and maintained cervical patency. Normal menstrual flow was resumed, and the hematotrachelos did not recur.
Hematotrachelos may be a rare complication of routine dilatation and curettage. The diagnosis is confirmed by transvaginal sonography. Treatment is successful with cervical dilatation and placement of a temporary latex nasopharyngeal airway.
宫颈积血，即经血积聚于扩张的宫颈内，是一种伴随宫颈狭窄的罕见病症。在本报告中，通过阴道超声诊断出宫颈积血，并采用了一种新的治疗方法。
一名39岁女性，因功能失调性子宫出血接受刮宫术后出现进行性月经过少，经阴道超声诊断为宫颈积血。对宫颈进行了扩张并清除了宫颈积血。使用乳胶鼻咽气道作为临时支架，以利于引流并保持宫颈通畅。月经恢复正常，宫颈积血未复发。
宫颈积血可能是常规刮宫术的一种罕见并发症。经阴道超声可确诊。宫颈扩张并放置临时乳胶鼻咽气道治疗成功。
