SUCCESSFUL TREATMENT WITH THE SMITH-HODGE PESSARY OF CERVICAL INCOMPETENCE DUE TO DEFECTIVE CONNECTIVE-TISSUE IN EHLERS-DANLOS SYNDROME

被引:23
作者
LEDUC, L
WASSERSTRUM, N
机构
[1] Department of Obstetrics and Gynecology, Department of Medicine, Baylor College of Medicine, Houston, Texas
关键词
D O I
10.1055/s-2007-994664
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Ehlers-Danlos syndrome (EDS) is a heterogeneous group of inherited connective tissue disorders with at least ten distinct types. We report a case of EDS complicated by cervical incompetence. Treatment was undertaken after confirmation that the patient's EDS was not type IV, hence not associated with potentially serious vascular complications. Because of concern about stretching or tearing of the hyperextensible connective tissue associated with EDS, cerclage was not performed. The cervical incompetence due to defective connective tissue was treated with a Smith-Hodge pessary.
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页码:25 / 27
页数:3
相关论文
共 14 条
[1]  
Golan A., Barnau R., Wexler S., Langer R., Bulkovsky I., David M.P., Incompetence of the uterine cervix, Obstel Gynecol Surv, 44, pp. 96-107, (1989)
[2]  
MacDonald I.A., Suture of the cervix For inevitable miscarriage, J Obstet Gynecol Br Emp, 64, pp. 246-250, (1957)
[3]  
Shirodkar V.N., A new method of operative treatment for habitual abortions in the second trimester of pregnancy, Antiseptic, 52, pp. 299-304, (1955)
[4]  
Cherry S.H., The incompetent cervix, Medicai, Surgical and Gynecologic Complications of Pregnancy, pp. 702-705, (1985)
[5]  
Vitsky M., The incompetent cervical os and the pessary, Am J Obstet Gynecol, 87, pp. 144-147, (1962)
[6]  
Vitsky M., Simple treatment of the incompetent cervical os, Am J Obstet Gynecol, 81, pp. 1194-1197, (1961)
[7]  
Yosowitz E.E., Haufrect F., Kaufman R.H., Et al., Silicone plastic cuff for the treatment of (he incompetent cervix in pregnancy, Am J Obstet Gynecol, 113, pp. 233-238, (1972)
[8]  
Pyeritz R.E., Cardiovascular manifestations of heritable disorders of connective tissue, Prog Med Genet, 5, pp. 213-226, (1983)
[9]  
Rudd N.L., Mimrod G., Holbrook K.A., Et al., Pregnancy complications in type IV Ehlers-Dankos syndrome, Lancet, 1, pp. 50-53, (1983)
[10]  
Taylor D.J., Wilcox I., Russell J.K., Ehlers-Danlos syndrome during pregnancy: A case report and review of the literature, Obstet Gynecol Sury, 36, pp. 277-281, (1981)