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Abstract：
UNASSIGNED: To illustrate the obstetrical outcome after B-Lynch sutures and ligation of the uterine arteries.
UNASSIGNED: A 26-year-old nulliparous woman. A caesarean section performed for obstructed labour was complicated by uterine atony. A B-Lynch uterine compression suture technique was used combined with ligation of the ascending branches of the uterine arteries. Before the subsequent fertility treatment, gel instillation sonography and power Doppler imaging showed a normal uterine cavity and restored myometrial vascularization. Subsequent caesarean section showed external adhesions on the anterior uterine serosa. A healthy baby of normal weight was delivered. There was focal placenta accreta; the underlying myometrium was strikingly thinner and prone to inversion.
UNASSIGNED: After B-Lynch sutures and ligation of the ascending branches of the uterine arteries, the pregnancy was subsequently uncomplicated. The potential association between B-Lynch sutures and placenta accreta or uterine inversion in a subsequent pregnancy has to be assessed in further studies. This case report illustrates how 3D gel instillation sonography is a valuable tool to evaluate the integrity of the uterine cavity.
UNASSIGNED: A 26-year-old nulliparous woman. A caesarean section performed for obstructed labour was complicated by uterine atony. A B-Lynch uterine compression suture technique was used combined with ligation of the ascending branches of the uterine arteries. Before the subsequent fertility treatment, gel instillation sonography and power Doppler imaging showed a normal uterine cavity and restored myometrial vascularization. Subsequent caesarean section showed external adhesions on the anterior uterine serosa. A healthy baby of normal weight was delivered. There was focal placenta accreta; the underlying myometrium was strikingly thinner and prone to inversion.
UNASSIGNED: After B-Lynch sutures and ligation of the ascending branches of the uterine arteries, the pregnancy was subsequently uncomplicated. The potential association between B-Lynch sutures and placenta accreta or uterine inversion in a subsequent pregnancy has to be assessed in further studies. This case report illustrates how 3D gel instillation sonography is a valuable tool to evaluate the integrity of the uterine cavity.
摘要：
■说明B-Lynch缝合和结扎子宫动脉后的产科结局。
■一名26岁的未产妇女。因难产而进行的剖腹产因子宫收缩而复杂化。B-Lynch子宫压迫缝合技术与子宫动脉升支结扎结合使用。在随后的生育治疗之前，凝胶滴注超声和能量多普勒成像显示子宫腔正常，子宫肌层血管化恢复。随后的剖腹产显示子宫前浆膜上有外部粘连。分娩了一个体重正常的健康婴儿。有局灶性胎盘植入；下面的子宫肌层明显变薄，容易倒置。
■在B-Lynch缝合并结扎子宫动脉的上行分支后，随后怀孕并不复杂。必须在进一步的研究中评估B-Lynch缝合线与随后妊娠中胎盘植入或子宫内翻之间的潜在关联。此病例报告说明了3D凝胶滴注超声检查如何成为评估子宫腔完整性的宝贵工具。
■一名26岁的未产妇女。因难产而进行的剖腹产因子宫收缩而复杂化。B-Lynch子宫压迫缝合技术与子宫动脉升支结扎结合使用。在随后的生育治疗之前，凝胶滴注超声和能量多普勒成像显示子宫腔正常，子宫肌层血管化恢复。随后的剖腹产显示子宫前浆膜上有外部粘连。分娩了一个体重正常的健康婴儿。有局灶性胎盘植入；下面的子宫肌层明显变薄，容易倒置。
■在B-Lynch缝合并结扎子宫动脉的上行分支后，随后怀孕并不复杂。必须在进一步的研究中评估B-Lynch缝合线与随后妊娠中胎盘植入或子宫内翻之间的潜在关联。此病例报告说明了3D凝胶滴注超声检查如何成为评估子宫腔完整性的宝贵工具。
