在限制堕胎的环境中进行1002次宫腔镜检查后保留胎儿骨骼的发生率

J. Okohue
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引用次数: 4

摘要

背景:保留在子宫腔内的胎儿骨骼是罕见的。然而,在有限制性堕胎法的环境中发生率是未知的。目的:记录在堕胎法严格限制的环境中保留胎儿骨骼的发生率。方法:检索2010年4月1日至2017年3月31日因胎儿骨骼残留而行宫腔镜检查的患者的病例记录。检索包括年龄、终止妊娠次数、终止妊娠时的胎龄、不孕持续时间和治疗结果在内的数据。结果:共有1002例患者因各种适应症接受了宫腔镜检查。其中26例患者保留了胎儿骨骼,发生率为0.26%。患者年龄范围为28-42岁,平均34.7±4.6 SD。不孕持续时间为2-8岁,平均4.6±2.3 SD。终止妊娠次数为1-6次,平均2.6±1.7 SD。一名患者在妊娠20周时,一对双胞胎中的一对出现不明原因的宫内胎儿死亡,随后在妊娠37周时进行了选择性剖宫产。所有病例均有胎儿骨骼的组织学证实。在24例继发性不孕患者中,6例(25.0%)实现了自然妊娠。8名妇女接受了体外受精治疗,其中2名(25%)临床妊娠。结论:在我们严格限制堕胎的环境中,宫内保留胎儿骨骼的发生率为0.26%。对这些法律的审查可能早就应该了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The incidence of retained fetal bones after 1,002 hysteroscopies in an environment with restrictive abortion laws
Background: Retained fetal bones within the uterine cavity are rare. The incidence in an environment with restrictive abortion laws is however unknown. Aim: To document the incidence of retained fetal bones in an environment with highly restrictive abortion laws. Methods: Case records of patients who had hysteroscopy on account of retained fetal bones from April 1, 2010 to March 31, 2017 were retrieved. Data including age, number of terminations of pregnancy, gestational age at termination of pregnancy, duration of infertility, and treatment outcome were retrieved. Results: A total of 1,002 patients had hysteroscopy for various indications. Of these, 26 patients had retained fetal bones giving an incidence of 0.26%. The age range of the patients was 28--42 years, mean 34.7 ± 4.6 SD. Duration of infertility ranged from 2 to 8 years, mean 4.6 ± 2.3 SD. The number of terminations of pregnancy ranged from 1 to 6, mean 2.6 ± 1.7 SD. One patient had an unexplained intrauterine fetal death of one of a set of twins at 20 weeks gestation with subsequent elective cesarean section at 37 weeks gestation. All the cases had histological confirmation of fetal bones. Of the 24 patients who had secondary infertility, 6 (25.0%) achieved spontaneous pregnancies. Eight women underwent in vitro fertilization treatment with 2 (25%) clinical pregnancies. Conclusion: The incidence of intrauterine retained fetal bones in our environment with highly restrictive abortion laws is 0.26%. A review of these laws is probably long overdue.
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