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頁籤選單縮合
題名 | Prerupture Diagnosis of Rudimentary Horn Pregnancy=子宮殘角懷孕破裂前之診斷 |
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作者 | 賴鴻政; 余慕賢; 陳惟華; 劉杭生; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 37:4 1998.12[民87.12] |
頁次 | 頁149-153 |
分類號 | 417.347 |
關鍵詞 | 子宮殘角; 植入性胎盤; Rudimentary horn; Placenta accreta; |
語文 | 英文(English) |
中文摘要 | 背景:子宮外孕發生在子宮殘角是很罕見的,也很容易在一般的產檢被忽略。一 旦發生破裂,往往產生很嚴重的後果。然而,大部分的病例都在破裂之後才診斷出來。 病例報告:本文報告兩例病例,分別在懷孕14及15週合併腹痛,至本院就診。超音波 發現大小正常之胎兒,具有邊綠看似正常之胎盤,且被一層很薄的子宮壁所包圍著。受孕之 子宮並不在腹部中間而是偏向一側,另一側發現一個厚壁的子宮腔,腔內並可發現蛻膜之音 波反射。兩子宮角之間可看到相連的部份。兩例病例均在未破裂前接受手術治療,切除子宮 殘角。術後病理報告顯示植入性胎盤。 結論:隨著超音波設備的進步,這類的子宮角懷孕,只要仔細檢查,應可以早期診斷。 尤其當懷孕第一期末或第二期初的孕婦合併腹痛時,必須提高警覺。 |
英文摘要 | Background: The incidence of pregnancy in a rudimentary horn of a uterus is estimated to be between 1/100000 and 1/140000 deliveries, well below that of tubal pregnancy. Though they account for a small fraction of ectopic pregnancies, they may cause fatal disasters when they rupture. These pregnancies have usually gone unrecognized on previous routine prenatal check-ups. Case report: Two patients of rudimentary horn pregnancy associated with placenta accreta are presented. Both cases presented with abdominal pain at 14 weeks of gestation and were diagnosed before rupture. Pelvic sonography disclosed each of the fetuses lying in a thin-walled uterine cavity with a well-defined placenta. Empty uterine cavities contralateral to the gravid horns were noted. Emergent laparotomies were performed in both cases before rupture occurred. Conclusion: Prerupture diagnosis of rudimentary horn pregnancies is possible with sonography. It is important to maintain high suspicion of this condition especially when patients complain of abdominal pain at the late first or early second trimester. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。