电邮这篇文章 妊娠合并峡部宫颈机能不全及胎儿脑室内出血的临床病例
- 作者: Mochalova M.N.1, Plotkin I.B.2, Chatskis E.M.3, Ahmetova E.S.1, Epova K.A.1, Galeeva A.I.1
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隶属关系:
- Chita State Medical Academy
- Region Clinical Hospital
- Clinical Hospital "Russian Railways-Medicine"
- 期: 卷 12, 编号 3 (2025)
- 页面: 352-359
- 栏目: Clinical case reports
- ##submission.dateSubmitted##: 02.12.2024
- ##submission.dateAccepted##: 10.08.2025
- ##submission.datePublished##: 24.08.2025
- URL: https://archivog.com/2313-8726/article/view/642249
- DOI: https://doi.org/10.17816/aog642249
- EDN: https://elibrary.ru/NAKRGT
- ID: 642249
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详细
呈现一例妊娠期合并峡部宫颈机能不全的临床病例，该患者因习惯性流产在孕前接受了腹腔镜宫颈环扎术。患者病史中有4次妊娠不良结局。鉴于其不良产科病史，向患者提出了通过腹腔镜方式矫正峡部宫颈机能不全的方案。孕早期过程顺利，无并发症。孕中期超声筛查发现胎儿右侧脑室内出血迹象。PCR-RT检测宫颈管分泌物检出细小病毒B19。为评估妊娠继续可能性，组织多学科会诊，决定延长妊娠，并通过超声及多普勒检查进行动态监测。根据胎儿情况，决定将患者转诊至联邦医疗机构进行分娩，以便接受专业的高水平医疗救助。在分娩前的超声和多普勒检查中，未见脑室内出血的负向进展。患者于孕38周+6天在St. Petersburg State Pediatric Medical University围产中心通过剖宫产分娩。
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作者简介
Marina N. Mochalova
Chita State Medical Academy
Email: marina.mochalova@gmail.com
ORCID iD: 0000-0002-5941-0181
SPIN 代码: 1068-3570
MD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, 39a Gorkogo st, Chita, 672000Ilya B. Plotkin
Region Clinical Hospital
Email: doc-plotkin@yandex.ru
ORCID iD: 0000-0002-3983-6572
俄罗斯联邦, Chita
Elena M. Chatskis
Clinical Hospital "Russian Railways-Medicine"
Email: len130922@yandex.ru
ORCID iD: 0009-0006-2355-8682
俄罗斯联邦, Chita
Elena S. Ahmetova
Chita State Medical Academy
Email: akhmetlena@yandex.ru
ORCID iD: 0000-0002-6568-8905
SPIN 代码: 7543-2483
MD, Cand. Sci. (Medicine)
俄罗斯联邦, 39a Gorkogo st, Chita, 672000Kristina A. Epova
Chita State Medical Academy
Email: epova.kristina@yandex.ru
ORCID iD: 0009-0002-6452-2601
SPIN 代码: 9754-8003
俄罗斯联邦, 39a Gorkogo st, Chita, 672000
Anna I. Galeeva
Chita State Medical Academy
编辑信件的主要联系方式.
Email: plotkina.ann@yandex.ru
ORCID iD: 0000-0001-8234-1797
SPIN 代码: 7315-6341
俄罗斯联邦, 39a Gorkogo st, Chita, 672000
参考
- Borschоva AA, Pertseva GM, Alekseeva NA. Isthmic-cervical insufficiency in the structure of the reasons for mortaring of pregnancy. Medical Herald of the South of Russia. 2020;11(1):34–40. doi: 10.21886/2219-8075-2020-11-1-34-40 EDN: ZMLFTC
- Barinov SV, Artymuk NV, Novikova ON, et al. Analysis of risk factors and predictors of pregnancy loss and strategies for the management of cervical insufficiency in pregnant women at a high risk of preterm birth. J Matern Fetal Neonatal Med. 2021;34(13):2071–2079. doi: 10.1080/14767058.2019.1656195
- Thakur M, Jenkins SM, Mahajan K. Cervical Insufficiency. 2024 Oct 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
- Savelyeva GM, Sukhikh GT, Serov VN, Radzinsky VE. Obstetrics. National guidelines. Moscow: GEOTAR-Media; 2022. 1080 р. ISBN: 978-5-9704-6632-2
- Anzhoeva PG, Shamanova AI, Sunsheva BA, et al. An analysis of pregnancy and labour outcomes in cervical incompetence. International Research Journal. 2024;(6):65. doi: 10.60797/IRJ.2024.144.165 EDN: NLJCUY
- Cruz-Melguizo S, San-Frutos L, Martínez-Payo C, et al. Cervical pessary compared with vaginal progesterone for preventing early preterm birth: a randomized controlled trial. Obstet Gynecol. 2018;132(4):907–915. doi: 10.1097/AOG.0000000000002884
- Abdallah W. Updates on laparoscopic cervical cerclage: obstetric outcomes and surgical techniques. Future Science OA. 2023;9(8):FSO885. doi: 10.2144/fsoa-2023-0051
- Clark NV, Einarsson JI. Laparoscopic abdominal cerclage: a highly effective option for refractory cervical insufficiency. Fertil Steril. 2020;113(4):717–722. doi: 10.1016/j.fertnstert.2020.02.007
- Saryeva OP, Protsenko EV. Pathogenetic aspects of intraventricular hemorrhages in extremely premature infants. I.P. Pavlov Russian Medical Biological Herald. 2023;31(3):481–488. doi: 10.17816/PAVLOVJ119975 EDN: LBSWTE
- Piccolo B, Marchignoli M, Pisani F. Intraventricular hemorrhage in preterm newborn: Predictors of mortality. Acta Biomed. 2022;93(2):e2022041. doi: 10.23750/abm.v93i2.11187
- Saryieva OP, Protsenko EV, Kulida LV. Intraventricular hemorrhages in premature newborns: predictors of development. Russian Bulletin of Perinatology and Pediatrics. 2022;67(3):11–17. doi: 10.21508/1027-4065-2022-67-3-11-17 EDN: QWUGWQ
- Safina AI, Volyanyuk EV. Long-term neuropsychiatric outcomes of deeply premature infants, prospects for diagnosis and correction. Russian Bulletin of Perinatology and Pediatrics. 2020;65(5):227–231. doi: 10.21508/1027-4065-2020-65-5-227-231 EDN: EFPNVG
- Glukhov BM, Baydarbekova AK. Outcomes and rehabilitation potential in children with intraventricular hemorrhages in the perinatal period. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(4):19–24. doi: 10.17116/jnevro202112104119 EDN IVSSZV
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