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中华产科急救电子杂志 ›› 2016, Vol. 05 ›› Issue (01) : 10 -14. doi: 10.3877/cma.j.issn.2095-3259.2016.01.003

所属专题: 文献

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妊娠合并肠梗阻
连岩1, 王谢桐2,()   
  1. 1. 250014 济南,山东省妇幼保健院妇产科 国家卫计委生育调控技术重点实验室
    2. 250014 济南,山东省妇幼保健院妇产科 国家卫计委生育调控技术重点实验室;250021 济南,山东大学附属省立医院妇产科
  • 收稿日期:2015-12-09 出版日期:2016-02-18
  • 通信作者: 王谢桐
  • 基金资助:
    泰山学者工程专项经费(ts201511101)

Intestinal obstruction in pregnancy

Yan Lian1, Xietong Wang2()   

  • Received:2015-12-09 Published:2016-02-18
  • Corresponding author: Xietong Wang
引用本文:

连岩, 王谢桐. 妊娠合并肠梗阻[J/OL]. 中华产科急救电子杂志, 2016, 05(01): 10-14.

Yan Lian, Xietong Wang. Intestinal obstruction in pregnancy[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2016, 05(01): 10-14.

妊娠合并肠梗阻是重要的妊娠外科合并症,延误治疗可导致较高的病死率和胎儿丢失率。早期识别、诊断和处理,是改善妊娠期肠梗阻预后的关键。CT检查对肠梗阻的判断具有明显优势,超声、磁共振检查、实验室特异性标记物检测、结肠镜检查有益于诊断。推荐保守治疗,保守治疗无效者应及时施行手术治疗;急性结肠假性梗阻是剖宫产术后需要重视的特殊类型。

Delayed treatment of pregnancy complicated with intestinal obstruction, which is an important complication of pregnancy, can cause a high mortality rate and fetal loss rate. Early identification, early diagnosis and early treatment are the key points to improve the prognosis of pregnancy complicated with intestinal obstruction. CT examination has obvious advantages in judgments of intestinal obstruction. The ultrasound, magnetic resonance imaging, laboratory specific markers and colonoscopy are conducive to diagnose intestinal obstruction during pregnancy. Conservative treatment is recommended. But when it fails, surgical treatment should be implemented timely. Acute colonic pseudo obstruction is a special type of postoperative cesarean section.

[1]
Sharp HT. The acute abdomen during pregnancy[J]. Clin Obstet Gynecol, 2002, 45(2):405-413.
[2]
Perdue PW, Johnson HW Jr, Stafford PW. Intestinal obstruction complicating pregnancy[J]. Am J Surg, 1992, 164(4):384-388.
[3]
Webster PJ, Bailey MA, Wilson J, et al. Small bowel obstruction in pregnancy is a complex surgical problem with a high risk of fetal loss[J]. Am R Coll Surg Engl, 2015, 97(5):339-344.
[4]
Zachariah SK, Fenn MG.Acute intestinal obstruction complicating pregnancy: diagnosis and surgical management[J]. BMJ Case Rep, 2014, pii: bcr2013203235.
[5]
Fejzo MS, MacGibbon K, Mullin P. Intestinal obstruction is a rare complication of ondansetron exposure in hyperemesis gravidarum[J]. Reprod Toxicol, 2015, 57(11):207.
[6]
Stukan M, Kruszewski Wiesaw J, Dudziak M, et al. Intestinal obstruction during pregnancy[J]. Ginekol Pol, 2013, 84(2):137-141.
[7]
ACOG Committee Opinion. Number 299, September2004(replaces No.158,September 1995). Guidelines for diagnostic imaging during pregnancy[R]. Obstet Gynecol, 2004, 104(3):647-651.
[8]
van Oudheusden TR, Aerts BA, de Hingh IH, et al. Challenges in diagnosing adhesive small bowel obstruction[J]. World J Gastroenterol, 2013, 19(43):7489-7493.
[9]
Jang TB, Schindler D, Kaji AH. Bedside ultrasonography for the detection of small bowel obstruction in the emergency department[J]. Emerg Med J, 2011, 28(8):676-678.
[10]
Leyendecker JR, Gorengaut V, Brown JJ. MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period[J]. Radio Graphics, 2004, 24(5):1301-1316.
[11]
Pediaditis M, Leitgeb N, Cech R. RF-EMF exposure of fetus and mother during magnetic resonance imaging[J]. Phys Med Biol, 2008, 53(24):7187-7195.
[12]
汪虹,连岩,王谢桐. 妊娠合并肠梗阻[J]. 中国实用妇科与产科杂志,2011, 10(2):723-727.
[13]
Adriaanse MP, Tack GJ, Passos VL, et al. Serum I-FABP as marker for enterocyte damage in coeliac disease and its relation to villous atrophy and circulating autoantibodies[J]. Aliment Pharmacol Ther, 2013, 37(4):482-490.
[14]
Krebs HB, Goplerund DR. Mechanical intestinal obstruction in patients with gynecologic disease: A review of 368 patients[J]. Am J Obstet Gynecol, 1987, 157:577-583.
[15]
Ceresoli M, Coccolini F, Catena F. Water-soluble contrast agent in adhesive small bowel obstruction: a systematic review and meta-analysis of diagnostic and therapeutic value[J]. Am J Surg, 2016, 211(6):1114-1125.
[16]
Redlich A, Rickes S, Costa SD. Small bowel obstruction in pregnancy[J]. Arch Gynecol Obstet, 2007, 275:381-383.
[17]
Reeves M, Frizelle F, Wakeman C, et al. Acute colonic pseudo-obstruction in pregnancy[J]. ANZ J Surg, 2015, 85(10):728-733.
[18]
Charatcharoenwitthaya P, Pausawasdi N, Pongpaibul A. Education and imaging: gastrointestinal: Ogilvie′s syndrome: a rare complication of cytomegalovirus infection in an immunocompetent patient[J]. J Gastroenterol Hepatol, 2014, 29(10):1752.
[19]
Lima AD, Galjart B, Wisse PH, et al. Does lower gastrointestinal endoscopy during pregnancy pose a risk for mother and child? -a systematic review[J]. Bmc Gastroenterology, 2015, 15(1):1-11.
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