冷芹 秦瑶 林丽苹

    [摘要] 子宫内翻指宫底向宫腔内陷，使子宫内膜面向宫颈外翻出的病症，系产科罕见但危及生命的并发症，若诊治处理不及时，严重时可造成孕产妇病死等。子宫内翻多发生于产后，而引起产后急性子宫内翻的原因常见第三产程处理不当。及时发现和治疗产后子宫内翻可以改善患者的不良结局，降低病死率。本文回顾总结厦门大学附属妇女儿童医院3 例子宫内翻患者的临床资料，并查阅文献分析总结子宫内翻的发病原因、临床表现、诊断及预后，通过学习提高对该病的认识并进行有效的处理。

    [关键词] 子宫内翻;产后急性子宫内翻;产褥期;分娩;第三产程

    [中图分类号] R714.6? [文献标识码] A? [文章编号] 2095-0616(2022)06-0197-04

    Analysis of 3 cases of acute postpartum uterine inversion and literature review

    LENG? QinQIN? Yao? LIN? Liping

    Department of Obstetrics， Women and Children’s Hospital， School of Medicine， Xiamen University， Fujian， Xiamen 361000， China

    [Abstract] Uterine inversion refers to the inversion of the fundus of the uterus to the uterine cavity， causing the endometrium to turn out facing the cervix， which is a rare but life-threatening complication in obstetrics. If not timely diagnosed and treated， it will cause maternal death in severe cases. Uterine inversion mostly occurs after delivery， and the cause of acute postpartum uterine inversion is usually due to improper handling of the third stage of labor. Timely diagnosis and treatment of postpartum uterine inversion can improve the adverse outcome of patients and reduce mortality. This article reviewed and summarized the clinical data of 3 patients with uterine inversion in Women and Children’s Hospital ......