子宫动脉栓塞术后三个大的子宫肌瘤自然排出。

Spontaneous expulsion of three large fibroids after uterine artery embolization.

作者信息

Laverge Francoises, D'Angelo Arianna, Davies Nigel J, Wood Andrew, Amso Nazar N

机构信息

University Hospital of Wales, College of Medicine, Cardiff, United Kingdom.

出版信息

Fertil Steril. 2003 Aug;80(2):450-2. doi: 10.1016/s0015-0282(03)00606-x.

DOI:10.1016/s0015-0282(03)00606-x

PMID:12909514

Abstract

OBJECTIVE

To report a case of uneventful expulsion of huge fibroids after uterine artery embolization. Case report.

SETTING

The Department of Obstetrics and Gynaecology of a university hospital.

PATIENT(S): A 45-year-old woman who underwent uterine artery embolization for fibroids.

INTERVENTION(S): Transfemoral selective bilateral uterine artery catheterization and injection of 500-700 microm polyvinyl alcohol particles.

RESULT(S): Recovery of the patient. The spontaneous expulsion of three fibroids on three different occasions over several months resulted in a significant reduction in menstrual loss and dysmenorrhea.

CONCLUSION(S): Delivering fibroids or sections of fibroids may be a natural process after uterine artery embolization, therefore it is essential to warn women about the possible risk. Close follow-up is also essential. The size of the fibroids discharged did not require hysterectomy. Adequate antibiotic cover may be necessary to prevent sepsis.

摘要