怀孕期间子宫扭曲:一个病例报告和系统审查
1Hospital Kemaman, Department of Obstetrics & Gynaecology, Terengganu, Malaysia. zazuarz@yahoo.co.uk.
The Medical journal of Malaysia
|March 27, 2025
概括
怀孕期间子宫扭曲是一种罕见但严重的疾病. 这份系统性审查强调了其具有挑战性的诊断,非特异性症状,以及对母亲和婴儿的重大风险,强调需要提高认识.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 手术紧急情况 手术紧急情况
背景情况:
- 怀孕期间子宫扭曲是罕见的,但对母亲和胎儿的健康构成严重风险.
- 由于潜在的不良结果,早期识别和管理至关重要.
研究的目的:
- 系统地审查和分析临床表现,管理策略和与怀孕期间子宫扭曲相关的并发症.
- 巩固现有的关于这种罕见的产科紧急情况的文献.
主要方法:
- 在主要数据库 (PubMed,Google Scholar等) 进行了系统的文献搜索. 坚持PRISMA指南的使用.
- 包括 1993-2022 年的英语病例报告和系列,分析母亲的特征,症状,管理和结果.
- 分析了149个病例的数据.
主要成果:
- 大多数病例发生在第三个三个月,呈现急性腹部症状.
- 诊断证明具有挑战性,在母亲和婴儿中报告了各种各样的并发症.
- 产妇死亡率为2.0%,围产死亡率为38.2%.
结论:
- 怀孕期间子宫扭转是一种罕见的,严重的疾病,缺乏特定的诱发因素或诊断标准.
- 它可以在任何妊娠阶段表现为各种各样的非特异性症状,对母亲和胎儿都有很大的风险.
相关概念视频
01:16Uterine Tubes
The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
01:18Uterus and Cervix
The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs of...
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs of...