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首页> 外文期刊>Journal of International Medical Research >Spontaneous rupture of the uterus following salpingectomy: a case report and literature review
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Spontaneous rupture of the uterus following salpingectomy: a case report and literature review

机译：输卵管切除术后子宫自发破裂：一例报道并文献复习

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Laparoscopic salpingectomy (LPSC) is the main treatment for ectopic pregnancy, which leads to spontaneous uterine rupture (UR) during pregnancy. We report the characteristics of a woman who had spontaneous UR during pregnancy with a history of salpingectomy. We experienced a 31-year-old woman with a UR in pregnancy with a history of LPSC twice. The patient had a successful pregnancy. We also performed a literature review including cases with spontaneous UR after LPSC. Twenty-seven case reports of 48 women were included in our review. Thirty-five (83.33%, 35/42) women previously received LPSC and 15 (31.25%) developed interstitial pregnancies. The interval between pregnancy and the last surgery did not affect the frequency of interstitial pregnancy and gestational age. Fetal outcomes in patients with UR at the third trimester were better than those at the first and second trimesters. We suggest that close observation and timely treatment by experienced clinicians lead to good outcomes of pregnant women with suspected UR.
机译：腹腔镜输卵管切除术（LPSC）是异位妊娠的主要治疗方法，它会导致妊娠期间自发性子宫破裂（UR）。我们报告了在妊娠期间自发性尿崩症并有输卵管切除术史的女性的特征。我们经历了一名31岁的孕妇患有UR，并有两次LPSC的病史。病人怀孕成功。我们还进行了文献综述，包括LPSC后自发性UR的病例。我们的审查包括了48名女性的27例病例报告。之前接受过LPSC的女性有35名（83.33％，35/42），有15名（31.25％）发生了间质性妊娠。妊娠与最后一次手术之间的间隔不影响间质妊娠的频率和胎龄。妊娠晚期的UR患者的胎儿结局优于妊娠早期和中期的胎儿。我们建议经验丰富的临床医生进行密切观察和及时治疗可导致疑似UR的孕妇取得良好的效果。

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