超声波在诊断妊娠子宫嵌顿中的作用。

IF 1.2 4区 医学 Q3 ACOUSTICS
Yanhua Dong, Mengyuan Liu, Xiaozhen Dong, Jie Li, Hezhou Li
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引用次数: 0

摘要

摘要总结妊娠合并子宫嵌顿的超声特点、诊断经验及妊娠结局:方法:对郑州大学第三附属医院超声科 2020 年 1 月至 2023 年 12 月产前超声诊断为妊娠合并子宫嵌顿的孕妇资料进行回顾性分析。对临床数据、超声特征和妊娠结局进行了分析:本研究共纳入 23 名孕妇。结果:本研究共纳入 23 名孕妇,其中 8 人在孕早期确诊,15 人在孕中期确诊。其中 7 人同时患有子宫肌瘤,10 人有腹部或盆腔手术史,2 人患有卵巢囊肿。共有 13 例出现尿道梗阻症状,3 例出现直肠压迫症状,5 例出现下腹部紧绷僵硬,2 例无特殊不适。17例患者的宫颈受压,变薄变长,大小约为39至73毫米。所有 23 个病例都进行了人工或膝胸定位复位,其中一个病例需要手术治疗。最终,22 例均足月活产,1 例在 24 周时胎儿夭折,1 例在人工减胎术成功后的第三周再次出现葡萄胎子宫嵌顿,再次进行人工减胎术:结论:早期诊断对产科管理和临床预后至关重要,有助于成功解除嵌顿子宫。诊断越早,成功释放嵌顿子宫的可能性就越大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of ultrasound in diagnosing gravid uterine incarceration.

Objective: To summarize the ultrasound characteristics, diagnostic experiences, and pregnancy outcomes of gravid uterine incarceration.

Methods: A retrospective analysis was conducted on the data of pregnant women diagnosed with gravid uterine incarceration by prenatal ultrasound at the Ultrasound Department of the Third Affiliated Hospital of Zhengzhou University from January 2020 to December 2023. Clinical data, ultrasound features, and pregnancy outcomes were analyzed.

Results: In this study, a total of 23 pregnant women were included. Of these, eight were diagnosed in early pregnancy, and 15 were diagnosed in mid-pregnancy. Seven participants had concurrent uterine fibroids, 10 had a history of abdominal or pelvic surgery, and two had ovarian cysts. A total of 13 cases presented with symptoms of urethral obstruction, three with rectal pressure symptoms, five cases with tight and stiff lower abdomen and two cases without special discomfort. Seventeen cases exhibited cervical compression with thinning and elongation, measuring approximately 39 to 73 mm. All 23 cases underwent manual or knee-chest positioning repositioning, with one case requiring surgical intervention. Ultimately, 22 cases resulted in full-term live births, one case experienced fetal demise at 24 weeks and one case experienced gravid uterine incarceration again in the third week after successful manual reduction, and manual reduction was performed again.

Conclusion: Early diagnosis is critical for obstetric management and clinical prognosis, facilitating the successful release of the incarcerated uterus. The earlier the diagnosis, the higher the likelihood of successfully releasing the incarcerated uterus.

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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
248
审稿时长
6 months
期刊介绍: The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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