保留的受孕产物 (RPOC):诊断,并发症和管理
Sushil Chawla1, Rajesh Sharma1
1INHS Asvini, Near RC Church Colaba, Mumbai, India.
Journal of obstetrics and gynaecology of India
|November 2, 2023
概括
怀孕产物保留 (RPOC) 是妊娠终止或分娩后的一个常见并发症. 诊断涉及成像,治疗选择包括预期管理,栓塞或透切除.
科学领域:
- 生殖医学 生殖医学
- 妇科外科手术 妇科外科
- 医疗成像医学成像
背景情况:
- 怀孕产物保留 (RPOC) 可能发生在妊娠终止或分娩后,导致出血,疼痛和感染等并发症.
- 此外,RPOC还可能导致长期问题,如子宫内粘附和子宫不孕.
- 诊断通常由超声波,有或没有颜色多普勒,并对动脉静脉形 (AVM) 的子宫血管评估支持.
研究的目的:
- 审查目前关于RPOC临床表现,诊断和治疗的证据.
- 为了比较RPOC的各种诊断和管理方法的敏感性,特异性,结果,优点和缺点.
主要方法:
- 对保留的受孕产物可用的文献进行系统审查.
- 对包括超声波和彩色多普勒在内的诊断方式的分析.
- 评估治疗策略,如D和C,预期管理,子宫动脉栓塞和宫切除.
主要成果:
- RPOC是一种常见的并发症,可能会出现早期和晚期的后果.
- 超声波是关键的诊断工具,经常被颜色多普勒和AVM评估补充.
- 存在各种管理选项,包括预期管理,栓塞和胰腺镜,为传统的D和C提供安全有效的替代方案.
结论:
- 保留的受孕产物 (RPOC) 是一个重要的产科并发症.
- 有效的管理依赖于通过成像和考虑干预性放射学和胰腺镜检查支持的准确诊断.
- 抗生素,干预放射学和透镜是RPOC综合治疗的关键组成部分.
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