作者对“疤痕子宫产前出血可能是子宫动脉瘤的潜在危险信号”的评论的回应（英文）

发布时间：2018-11-25 21:02

【摘要】：在S.Matsubara等人对我们在《浙江大学学报(英文版)B辑:生物医学与生物技术》发表的一篇报道"疤痕子宫产前出血可能是子宫动脉瘤的潜在危险信号"(Zhang et al.,2017)的评论(Matsubara et al.,2017)中,对于子宫动脉瘤形成的机制给予了两种解释,进而结合其所在中心的研究数据和文献报道,提出子宫动脉瘤的形成可能与所有既往的创伤性操作史有关,两者间的时间间隔可能很长,比如10年甚至20年之久。这个结论对子宫动脉瘤的预防和诊疗等具有非常重要的指导价值。笔者查阅相关领域的文献,发现绝大多数研究者把创伤性操作的定义默认为当前妊娠分娩中所发生的操作,这样的定义容易让读者忽视既往创伤性操作史与子宫动脉瘤形成间的相关性。因此,笔者建议,在患者病例信息中,应该明确既往创伤性操作史的背景介绍,便于提高临床对子宫动脉瘤发生的警惕性,并有利于对子宫动脉瘤发生机制的研究。另外,临床工作者需要对疤痕子宫的产前出血特别重视,其可能是子宫动脉瘤发生破裂的潜在危险信号。
[Abstract]:S.Matsubara et al. Report to us in the Journal of Zhejiang University, Series B: biomedicine and Biotechnology, "Hemorrhage of the scar uterus before birth may be a potential danger signal for uterine aneurysms" (Zhang et al., In 2017 (Matsubara et al.,2017), two explanations for the formation of uterine aneurysms were given, which combined with research data and literature reports at the center of the aneurysm. It is suggested that the formation of uterine aneurysm may be related to all previous traumatic operations, and the time interval between the two may be very long, such as 10 or 20 years. This conclusion has very important guiding value for the prevention and treatment of uterine aneurysm. The author looked up the literature in related fields and found that most researchers define traumatic operations by default as those occurring during pregnancy and childbirth. Such a definition would allow readers to overlook the correlation between previous traumatic procedures and uterine aneurysm formation. Therefore, the author suggests that the background of previous traumatic operation should be clearly defined in the patient's case information, so as to improve clinical vigilance against uterine aneurysm and to study the pathogenesis of uterine aneurysm. In addition, clinical workers need to pay special attention to prenatal bleeding of scar uterus, which may be a potential risk signal for rupture of uterine aneurysms.
【作者单位】： Department
【分类号】：R714

【参考文献】