The management of an early-missed abortion after radical trachelectomy—a case report and a review of the literature
The management of an early-missed abortion after radical trachelectomy—a case report and a review of the literature
复制标题
根治性子宫颈切除术后早期稽留流产的处理——病例报告及文献综述
DOI：
10.1136/ijgc-00009577-200607000-00031
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
R. Auslender
中科院分区：
文献类型：
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作者：
Ofer Lavie;G. Peer;S. Sagi;A. Arie;R. Auslender
根治性宫颈切除术（RT）已有近20年的报道历史。本病例报告描述并探讨了一位接受根治性宫颈切除术后并进行了宫颈环扎的患者发生早期稽留流产的临床处理问题。病例：一名35岁女性，因宫颈癌IB1期在2年前接受了根治性宫颈切除术，此次因孕8周稽留流产就诊。在根治性宫颈切除术结束时，在剩余的宫颈内口处放置了宫颈环扎缝线。患者在超声引导下进行了宫颈扩张及刮宫术，且未损伤宫颈环扎处。本病例报告表明，在不损伤宫颈环扎的情况下进行扩张及刮宫术是根治性宫颈切除术后患者早期流产临床处理的一种可行选择。
Radical trachelectomy (RT) has been reported for almost 20 years. This case report describes and addresses the issue of the clinical management of early-missed abortion in a patient after RT with a cerclage. Case: A 35-year-old woman who had a RT 2 years ago due to cervical carcinoma stage IB1 presented with a missed abortion of an 8-week gestational age. At the end of the RT, a cerclage suture was inserted in the remaining internal oss of the cervix. The patient went through a cervical dilatation followed by suction curettage guided by ultrasonography without compromising the cerclage. This case report suggests that dilatation and suction curettage without compromising the cervical cerclage is a feasible option in the clinical management of early abortion in a patient after RT.