处理罕见临产合并粘连性巨脾患者1例报道

Report on a case of treatment for a rare parturition complicated with adhesive megalosplenia

粘连性巨脾在临床上极为罕见,其手术难度大、风险高。若是女性患者,一般有妊娠的过程,在妊娠晚期,巨脾可能会对生产产生影响,甚至可危及生命。单纯粘连性巨脾的处理在临床上就非常棘手,当粘连性巨脾合并晚期妊娠时手术处理难度更大。我院收治了1例临产合并先天性粘连性巨脾的患者,采用腹膜外剖宫产的手术方式,成功实施剖宫产手术,最终患者康复出院。针对粘连性巨脾合并临产患者的手术既往未见报道,本研究属于首次,并且效果满意,在此进行报道。

Adhesive megalosplenia is extremely rare in clinic,and its operation is difficult and risky.If it is a female patient,there is usually a process of gestation.In late gestation,the megalosplenia may impact the production and even endanger her life.The treatment of simple adhesive megalosplenia is very difficult in clinic,and it is more difficult to operate when adhesive megalosplenia complicated with late gestation.A parturition complicated with congenitally adhesive megalosplenia was admitted to our hospital.An extraperitoneal cesarean section was adopted,and the cesarean section was successfully performed.Finally,the patient recovered and was discharged from hospital.The operation for parturition complicated with adhesive megalosplenia has not been reported before,and it was the first time for us.Meanwhile,the effect was satisfying.Therefore,it was reported in this paper.