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目的:探讨宫颈粘连引起梗阻性难产的临床表现及处理方法。方法:回顾性分析非洲某医院10例宫颈粘连患者临床特征、实验室检查结果以及处理方法和结局。结果:10例宫颈粘连患者宫颈分泌物淋球菌检验全部阳性。宫颈粘连部位:宫颈外口5例,宫颈内口2例,宫颈管3例。因粘连的部位不同,临床表现亦各异。10例患者分离粘连后均顺娩。结论:淋球菌感染所致宫颈粘连引起梗阻性难产作为高危妊娠的因素之一,应引起产科医师高度重视。
Objective: To investigate the clinical manifestations and treatment of obstructive dystocia caused by cervical adhesion. Methods: A retrospective analysis of 10 patients with cervical adhesions in a hospital in Africa clinical features, laboratory test results and treatment methods and outcomes. Results: 10 cases of cervical adhesion in patients with cervical secretions gonococcal test were all positive. Cervical adhesions site: 5 cases of cervical outside the mouth, cervix in 2 cases, 3 cases of cervical canal. Due to different adhesion sites, clinical manifestations are also different. Ten patients were isolated after adhesion and delivery. Conclusions: Obstructive dystocia caused by cervical adhesions caused by Neisseria gonorrhoeae infection is one of the factors of high-risk pregnancy, which should be paid more attention by obstetricians.