宫颈环扎术的腐蚀性缝线是导致异常子宫出血的因素之一：两个病例的报告

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Taiwanese Journal of Obstetrics & Gynecology Pub Date : 2024-10-29 DOI:10.1016/j.tjog.2024.08.003

Hung-Ting Chang , Shin-Yin Huang , Ming-Chao Huang

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引用次数: 0

摘要

目的异常子宫出血（AUB）是育龄妇女的一种常见病，严重降低了她们的生活质量。要确定 AUB 的病因，必须详细了解病史，并根据 AUB 系统 2（PALM-COEIN）进行分类。AUB 与宫内残留物有关。病例报告我们介绍了两例由宫颈环扎的留置针引起的 AUB。结论全面的病史对 AUB 的评估至关重要，尤其是既往的先天性病史，如宫内节育器放置、宫颈环扎缝线残留或其他异物。

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Erosive stitches of cervical cerclage as a factor of abnormal uterine bleeding: A report of two cases

Objective

Abnormal uterine bleeding (AUB) is a prevalent condition in reproductive-aged women that significantly decreases the quality of life. A thorough history is necessary to determine the causes of AUB, which were categorized by the AUB System 2 (PALM-COEIN). AUB has been associated with retained intrauterine objects. However, studies regarding AUB caused by retained stitches of the cervical cerclage were limited.

Case Report

We present two cases of AUB caused by retained stitches of the cervical cerclage. Both cases were successfully treated by removing the retained stitches by hysteroscopy.

Conclusion

A comprehensive history is crucial to AUB evaluation, especially a previous history of iatrogenic processes, such as intrauterine device placement, retained cerclage stitches, or other foreign bodies.

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来源期刊

Taiwanese Journal of Obstetrics & Gynecology OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

23.80%

发文量

207

审稿时长

4-8 weeks

期刊介绍： Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology. The aims of the journal are to: 1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health 2.Deliver evidence-based information 3.Promote the sharing of clinical experience 4.Address women-related health promotion The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.