| 摘要: |
| 妊娠子宫嵌顿（incarceration of the gravid uterus ，IGU）是一种罕见的产科并发症。随孕周增长，妊娠子宫由盆腔器官上升为腹腔器官，大多数后位子宫可在12-14周自行纠正宫底位置，向头侧上升移动，到达腹腔。极少数病例子宫持续后倾后屈被局限在骶岬与耻骨联合之间的盆腔内（子宫直肠陷窝或子宫膀胱陷窝），即称为妊娠子宫嵌顿。子宫嵌顿如未能及时处理，可出现胎膜早破、流产、甚至子宫破裂、膀胱破裂、肾功能衰竭等严重并发症。因此，早期诊断是降低IGU并发症的关键。 |
| 关键词: 妊娠，子宫嵌顿，超声 |
| DOI： |
| 投稿时间：2020-04-14修订日期：2020-05-25 |
| 基金项目: |
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| successful reduction of the incarcerated gravid uterus |
| WUXIA,CHENJIA |
| (the people''s hospital of nanchuan chongqing) |
| Abstract: |
| Incarceration of the gravid uterus(IGU) is a rare obstetric disorder.With the pregnancy weeks increasing,the gravid uterus transforms from a pelvic organ to an abdominal organ. In most cases,the retroverted uterus spontaneously corrects itself as the fundus rising out of the pelvis forward to its normal anatomical position between 12-14 weeks of gestation.[1] On rare occasions, the uterus remains in a retroverted position as it enlarges, becoming trapped in the pelvis between the sacral promontory and the symphysis pubis（the Douglas pouch or the uterovesical pouch）,[2]this is called incarceration of the gravid uterus. If it is not treated timely, it will lead to severe complications such as premature rupture of membrane , miscarriage or even the rupture of uterus, bladder and renal failure. Therefore, early diagnosis is the key to reducing complications . |
| Key words: pregnancy,uterus incarceration, ultrasound |
