栓塞治疗晚期腹腔妊娠并胎盘残留。病例报告。
Embolization for advanced abdominal pregnancy with a retained placenta. A case report.
作者信息
Cardosi Richard J, Nackley Anna C, Londono Jorge, Hoffman Mitchel S
机构信息
Divisions of Gynecologic Oncology and Reproductive Endocrinology, Department of Obstetrics and Gynecology, University of South Florida, Tampa, USA.
出版信息
J Reprod Med. 2002 Oct;47(10):861-3.
BACKGROUND
Abdominal pregnancy is not encountered commonly, and management of the placenta is controversial.
CASE
A 33-year-old woman presented with an abdominal pregnancy at 33 weeks' gestation with fetal death. The placental vasculature was embolized preoperatively. Following operative delivery. of the fetus, the placenta was left in situ in efforts to preserve fertility given its implantation on the reproductive organs. The patient suffered prolonged postoperative ileus but otherwise did well. Placental function ceased after two months.
CONCLUSION
Placental vasculature embolization is a management option for a retained placenta associated with abdominal pregnancy.
背景
腹腔妊娠并不常见，胎盘的处理存在争议。
病例
一名33岁女性在妊娠33周时出现腹腔妊娠并伴有胎儿死亡。术前对胎盘血管进行了栓塞。在手术娩出胎儿后，鉴于胎盘植入生殖器官，为保留生育能力将胎盘留在原位。患者术后出现长时间肠梗阻，但其他方面情况良好。两个月后胎盘功能停止。
结论
胎盘血管栓塞是处理与腹腔妊娠相关的胎盘滞留的一种治疗选择。
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