Expectant management for early pregnancy miscarriage after radical trachelectomy: A single hospital‐based study
Expectant management for early pregnancy miscarriage after radical trachelectomy: A single hospital‐based study
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根治性宫颈切除术后早期妊娠流产的期待治疗：一项基于医院的研究
DOI：
10.1111/aogs.14158
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发表时间：
2021
影响因子：
4.3
通讯作者：
Ochiai Daigo
中科院分区：
文献类型：
--
作者：
Kasuga Yoshifumi;Ikenoue Satoru;Tanaka Yuya;Tamagawa Masumi;Hasegawa Keita;Oishi Maki;Endo Toyohide;Sato Yu;Tanaka Mamoru;Ochiai Daigo
因宫颈环扎术或宫颈坏死而导致早期流产后，接受根治性宫颈切除术作为早期宫颈癌生育保留治疗的女性可能存在较高的残留组织风险。在这些妇女中，扩张和刮除或抽吸可能会带来额外的风险。本研究的目的是评估根治性trachelectomy.Material和方法庆应义塾大学医院记录后怀孕的妇女根治性trachelectomy.Material和方法早期妊娠流产的期待管理的有效性进行了审查后，腹部根治性trachelectomy.Material和方法2012年4月1日和2020年3月31日之间接受围产期护理。共确定了62名妇女（76例妊娠），其中13名妇女在妊娠12周前流产。这些情况下的管理和结果进行了详细的revised.ResultsThe产妇的平均年龄在流产是39岁（范围31-42岁）和平均持续时间从腹部根治性宫颈切除术的概念是2.60年（范围0.49-7.30年）。妊娠前宫颈坏死1例（8%）。1例患者要求进行抽吸治疗，其余12例病例通过中位23天（范围7-50天）的观察进行管理。无尿道炎病例或需要扩张和刮除残留组织的病例。此外，没有病例发生撕裂的残留宫颈和没有损失的环扎缝合后，放电noted.ConclusionsExpectant管理似乎是安全和适当的妊娠早期流产后，腹部根治性tracelectomy。
IntroductionWomen who have undergone radical trachelectomy as a fertility‐sparing treatment for early‐stage cervical cancer may be at higher risk for retained tissues after early‐term miscarriage due to cervical cerclage or cervical necrosis. Dilatation and curettage or aspiration may present additional risks in these women. The aim of this study was to assess the efficacy of expectant management for early pregnancy miscarriage after radical trachelectomy.Material and methodsKeio University Hospital records were reviewed for women who conceived after abdominal radical trachelectomy and received perinatal care between 1 April 2012 and 31 March 2020. A total of 62 women (76 pregnancies) were identified, and 13 of these women experienced miscarriage before 12 gestational weeks. The management and outcome of these cases were reviewed in detail.ResultsThe median maternal age at miscarriage was 39 years (range 31–42 years) and the median duration from abdominal radical trachelectomy to conception was 2.60 years (range 0.49–7.30 years). Cervical necrosis before conception occurred in one case (8%). One patient requested treatment with aspiration and the remaining 12 cases were managed with observation for a median of 23 days (range 7–50 days). There were no cases of endometritis or cases requiring dilatation and curettage for residue tissue. Further, no cases developed laceration of the residual cervix and no loss of cerclage sutures after discharge was noted.ConclusionsExpectant management seems to be safe and appropriate for first trimester miscarriage after abdominal radical trachelectomy.
根治性宫颈切除术后月经异常及其对生育的影响
DOI：
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发表时间：
2019
期刊：
The journal of obstetrics and gynaecology research
影响因子：
--
作者：
Mari Matsuoka;Atsuko Taga;Saori Hata;R. Yamamoto;Yukiko Ando;Yuki Kozono;Natsuki Tsuji;K. Sekiyama;Toshihiro Higuchi;T. Nagano
通讯作者：
T. Nagano
DOI：
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发表时间：
2005
期刊：
The Journal of family practice
影响因子：
--
作者：
C. Butler;G. Kelsberg;Leilani St Anna;P. Crawford
通讯作者：
P. Crawford
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
发表时间：
2006
期刊：
International Journal of Gynecologic Cancer
影响因子：
--
作者：
Ofer Lavie;G. Peer;S. Sagi;A. Arie;R. Auslender
通讯作者：
R. Auslender