急性炎在孕妇和产后妇女中很常见
Maia Kayal1, Zoe Gottlieb1, Benita Glamour1
1Dr. Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
在患有性结肠炎的妇女中,怀孕通常会导致急性囊炎,这些妇女经过了全方位结肠切除术与阴道囊解剖. 血囊炎的病史增加了这种风险,为预孕咨询提供了信息.
科学领域:
- 胃肠病学 胃肠病学
- 生殖医学 生殖医学
- 外科手术的结果
背景情况:
- 性结肠炎 (UC) 的管理往往涉及到带有囊解剖体 (IPAA) 的直肠切除术.
- 怀孕对IPAA结果的影响,特别是囊炎的发展,仍然不清楚.
- 了解怀孕对囊炎的影响对于接受IPAA的UC妇女至关重要.
研究的目的:
- 调查UC和IPAA的妇女在怀孕期间和怀孕后急性囊炎的发生率.
- 在这个特定的患者群体中识别囊炎发展的风险因素.
- 提供关于囊炎管理的孕前咨询的数据.
主要方法:
- 追溯性研究设计.
- 纳入标准:患有UC,IPAA和后续怀孕的妇女.
- 主要结局:在怀孕期间或分娩后的急性囊炎 (通过症状和抗生素治疗来定义).
主要成果:
- 分析了44名妇女的63次怀孕情况.
- 急性囊炎发生在22.2%的怀孕期间和15.9%的产后怀孕.
- 血囊炎的病史与妊娠/产后急性血囊炎的发病率较高有关.
结论:
- 急性囊炎是UC和IPAA的妇女在怀孕期间和之后经常出现的并发症.
- 怀孕期间的微生物变化可能会导致囊炎的发展.
- 这些发现支持了需要以预防和管理炎为重点的孕前咨询的需求.
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