查詢結果分析
相關文獻
- Retained Gauze in the Uterine Cavity after Cesarean Section--A Case Report
- 產科照護之再省思--由減少剖腹產談起
- Hysteroscopic Surgery for Submucous Myomas and Endometrial Polyps
- Severe Delayed Postpartum Hemorrhage Following Cesarean Section
- Pregnancy in a Previous Cesarean Section Scar: Case Report
- Vaginoscopy Using Hysteroscope for Diagnosis of Vaginal Bleeding during Childhood: Case Report
- Spinal Anesthesia for Cesarean Section: Isobaric Versus Hyperbaric Solution
- 一位經歷新生兒性別期待失落之剖腹產經產婦照護經驗
- Views of Obstetric Patients Who Refuse Regional Anesthesia in Cesarean Section
- Comparison of the Efficacy of Diagnosis with Carbon Dioxide and Fluid Hysteroscopy
頁籤選單縮合
題 名 | Retained Gauze in the Uterine Cavity after Cesarean Section--A Case Report=剖腹產後紗布存留在子宮腔內的病例報告 |
---|---|
作 者 | 許世正; 蔡英美; 吳鏡瑚; 李昭男; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:4 1999.12[民88.12] |
頁 次 | 頁159-162 |
分類號 | 417.37 |
關鍵詞 | 剖腹產; 子宮腔內紗布存留; 子宮鏡; Cesarean section; Intrauterine retained gauze; Hysteroscopy; |
語 文 | 英文(English) |
中文摘要 | 背景:剖腹產後發生紗布存留於子宮腔內的併發症,文獻上還沒有報告過。它會造成異常出血及膿性分泌物。剛開始,它可能會被當成子宮內膜炎治療。超音波檢查時,可能會誤判是妊娠物存留,而子宮鏡可提供正確診斷及治療。 病例報告:此病例是一位25歲女性。她在第一一胎接受剖腹產後,持續有異常出血及膿性分泌物,很多醫師都診斷為子宮內膜炎,而予以藥物治療,可是症狀一直存在。後來轉至本院求診,在超音波檢查下,發現子宮腔內有一萬回音影像,懷疑是妊振物的存留,懷孕試驗卻呈現陰性。後來,安排了子宮鏡檢查,發現子宮腔內有類似絲線網狀物,懷疑是紗布存留。取出後,証明是紗布的存留。經過子宮鏡取出及抗生素使用,此病人症狀便痊癒了。 結論:剖腹產後子宮腔內紗布的存留,就我們能查得到文獻而言,這可說是第一例。因此剖腹產後,如果子宮腔內有異常物時,應考慮妊娠物及紗布的存留。子宮鏡術可提供一正確之診斷及處理。 |
英文摘要 | BACKGROUND: Intrauterine gauze retained following cesarean section can result in vaginal spotting and purulent discharge. It might initially be treated as endometritis. Under ultrasound scan, it can also mislead the clinician to diagnose it as retained gestational tissue. Hysteroscopy offers a definite diagnosis and management. CASE REPORT: A 25-year-old woman presented with persistent vaginal spotting and purulent discharge following cesarean section. Medical treatment was prescribed under the impression of endometritis by a multi-practitioner clinic, but in vain. When she came to our hospital, retained gestational tissue was suspected under ultrasound scan. The urine pregnancy test was negative. However hysteroscopy confirmed retained gauze and the foreign body was removed. The patient's symptoms were cured after removal of the gauzes and antibiotic treatment. CONCLUSION: Any patient can suffer from intrauterine retained foreign body after cesarean section. Retained gestational tissue or gauze should be considered. Hysteroscopy offers a definite diagnosis and management. |
本系統中英文摘要資訊取自各篇刊載內容。