晚期妊娠合并子宫肌瘤表面血管破裂出血一例并文献复习  

Late Pregnancy Complicated with Rupture of Blood Vessels on the Surface of Uterine Myoma:A Case Report and Literature Review

作　　者：冷芹 于威威 魏玮[1] LENG Qin;YU Wei-wei;WEI Wei(Department of Obstetrics,Women and Children′s Hospital,School of Medicine,Xiamen University,Xiamen 361000,Fujian Province,China)

机构地区：[1]厦门大学附属妇女儿童医院/厦门市妇幼保健院产科,361000

出　　处：《国际妇产科学杂志》2023年第3期354-356,共3页Journal of International Obstetrics and Gynecology

摘　　要：子宫肌瘤表面血管自发性破裂临床较少见,发生于妊娠期者更为罕见。报告1例妊娠晚期因急腹症入院病例,在治疗过程中因可疑胎儿宫内窘迫行剖宫产术,术中发现浆膜下子宫肌瘤表面血管自发性破裂出血,予完整切除肌瘤,创面缝合止血,最终明确入院时腹痛原因。提醒临床医生对于妊娠期合并子宫肌瘤、急腹症入院者,应考虑是否存在子宫肌瘤表面血管破裂。复习国内外文献总结其病因及特点,以提高对该疾病的临床识别。Spontaneous rupture of blood vessels on the surface of uterine myoma is rare in clinical practice,especially in pregnancy.Reported a case of admission to our hospital with acute abdominal pain in the third pregnancy trimester,who performed cesarean section due to suspected fetal distress during treatment,and spontaneous rupture and hemorrhage were found on the surface of the subserous myoma during the operation,the myoma was completely removed and the wound was sutured to stop bleeding,and the cause of abdominal pain on admission was finally identified.Clinicians should be reminded to consider whether there exists the diagnosis of haemorrhage from spontaneous rupture of a uterine myoma and acute abdominal pain during pregnancy.This paper reviews the literature at home and abroad to summarize its etiology and characteristics in order to improve the clinical recognition of the rupture of blood vessels on the surface of uterine myoma.

关 键 词：子宫 平滑肌瘤 血管 破裂 妊娠末期 腹痛 

分 类 号：R737.33[医药卫生—肿瘤] R714.2[医药卫生—临床医学]