电邮这篇文章 一名患有高危子宫肌瘤的妇女的分娩和器官保留手术
- 作者: Yashchuk A.G.1, Iskandarova A.R.2, Gurova Z.G.2, Musin I.I.1, Klyavlina M.Y.2
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隶属关系:
- Bashkir State Medical University
- City Clinical Perinatal Centre, Ufa
- 期: 卷 11, 编号 2 (2024)
- 页面: 221-227
- 栏目: Clinical case reports
- ##submission.dateSubmitted##: 28.09.2023
- ##submission.dateAccepted##: 19.02.2024
- ##submission.datePublished##: 11.07.2024
- URL: https://archivog.com/2313-8726/article/view/595918
- DOI: https://doi.org/10.17816/aog595918
- ID: 595918
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详细
本文介绍了乌法市临床围产中心的一个临床病例，该病例涉及对一名患有高危子宫肌瘤的妇女进行器官保留手术，该肌瘤经颈部定位并过渡到子宫后壁。2023年5月，患者T在孕龄39周时被安排进行剖腹产手术，随后手术范围扩大到保守性子宫肌瘤剔除术。手术指征是经颈部巨大子宫肌瘤，并向子宫后壁过渡，因此无法通过自然产道分娩。该患者的子宫肌瘤是在怀孕期间发现的。检查中使用的仪器方法：超声检查、核磁共振成像。常规超声检查诊断为经颈部定位的子宫肌瘤，大小为 123×99×112毫米，无结节营养不良。核磁共振成像数据确诊为巨大子宫肌瘤。于是进行了耻骨上横切剖腹手术。联合手术的第一阶段是下段剖腹产。结果，分娩出了一名早产男婴（体重3480克，身高53厘米，Apgar 评分 7-8-9）。在检查盆腔器官时，发现峡部有一个100×120毫米的肌瘤结节，向子宫后壁过渡，没有坏死迹象。在不深入宫腔的情况下，进行了保守性肌瘤切除术。用单独的缝线缝合了子宫床。止血成功。肌瘤结节的重量为 570 克。这一临床病例表明，高危、巨大、不典型子宫肌瘤患者可进行良好的足月妊娠。保全器官的联合手术可使妇女保留器官，并进一步发挥其生殖潜能。
全文:
作者简介
Alfiya G. Yashchuk
Bashkir State Medical University
Email: alfiya_galimovna@mail.ru
ORCID iD: 0000-0003-2645-1662
SPIN 代码: 2607-9150
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, UfaAliya R. Iskandarova
City Clinical Perinatal Centre, Ufa
Email: aliya-i@yandex.ru
ORCID iD: 0000-0002-1985-6402
SPIN 代码: 3035-0483
Deputy Chief Physician
俄罗斯联邦, UfaZuhra G. Gurova
City Clinical Perinatal Centre, Ufa
Email: zgurova16@yandex.ru
ORCID iD: 0000-0002-9535-3014
SPIN 代码: 6801-8087
MD, Cand. Sci. (Medicine);
俄罗斯联邦, UfaIlnur I. Musin
Bashkir State Medical University
Email: ilnur-musin@yandex.ru
ORCID iD: 0000-0001-5520-5845
SPIN 代码: 4829-1179
MD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, UfaMaria Y. Klyavlina
City Clinical Perinatal Centre, Ufa
编辑信件的主要联系方式.
Email: gradusova.maria@mail.ru
ORCID iD: 0009-0001-1751-7482
SPIN 代码: 3967-0537
Obstetrician-gynecologist
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