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在Cerclage安置过程中保留破碎的针的管理

Sascha Wodoslawsky¹, Matthew H Mossayebi, Gregg Alleyne

¹Sidney Kimmel Medical College and the Department of Obstetrics and Gynecology and the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania; and the Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts.

Obstetrics and gynecology

|August 10, 2023

概括

在一个孕妇的子宫结手术过程中保留的破裂的针在剖腹产后成功被移除. 这一案例突出了在产科中保留的手术针的保守管理.

科学领域:

产科和妇科产科和妇科
外科手术的安全性
外国机构管理的管理

背景情况:

在产科手术中,意外保留破裂的针是罕见的.
涉及孕妇患者的病例在医学文献中很少被报道.

研究的目的:

报告在怀孕患者的 cerclage 放置期间保留针片段的情况.
讨论在怀孕期间保留的异物体的管理.

主要方法:

一名36岁的孕妇患者在怀孕13周时接受了 cerclage 放置.
在手术期间破裂后,一个35毫米针碎片被保留在子宫中.
碎片被保守地管理,并在剖腹产后产后被移除.

主要成果:

保留的宫针片段通过手术内骨盆X射线识别.
患者继续怀孕,并在怀孕32周经历了无并发的重复剖腹产.
在分娩后通过经阴道触摸成功地切除了保留的针头.

结论:

在孕妇患者中保持破裂的针的管理需要仔细考虑风险与益处.
保守管理,延迟提取到交付,可以是一个可行的选择,当立即提取带来重大风险.

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