热球囊子宫内膜消融术后成功妊娠。
Successful pregnancy after thermal balloon endometrial ablation.
作者信息
Kir Mustafa, Hanlon-Lundberg Kathleen M
机构信息
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
出版信息
Obstet Gynecol. 2004 May;103(5 Pt 2):1070-3. doi: 10.1097/01.AOG.0000127948.22011.46.
BACKGROUND
Thermal balloon ablation is as effective as other electrosurgical modalities used for endometrial ablation. Pregnancy rate after endometrial ablation is 0.24-0.68%. We report a near-term viable pregnancy after thermal balloon uterine ablation.
CASE
Thermal balloon uterine endometrial ablation was performed on a 38-year-old woman with menorrhagia. She conceived 11 months after the operation and decided to continue the pregnancy. After 35 weeks of uneventful gestation, she spontaneously delivered a liveborn infant.
CONCLUSION
Although rare, pregnancy after endometrial ablation is possible. Obstetric complications, such as pathologic placental adherence and fetal demise due to a small, scarred uterine cavity, have been reported. This pregnancy went to 35 weeks without complication despite a three-chambered appearance of the uterus.
背景
热球消融术与用于子宫内膜消融的其他电外科方法效果相同。子宫内膜消融术后的妊娠率为0.24% - 0.68%。我们报告了一例热球子宫消融术后近期存活的妊娠病例。
病例
对一名38岁月经过多的女性进行了热球子宫内膜消融术。她在术后11个月怀孕，并决定继续妊娠。在妊娠35周无异常情况后，她自然分娩了一名活产婴儿。
结论
尽管罕见，但子宫内膜消融术后仍有可能妊娠。已有报道称存在产科并发症，如病理性胎盘粘连以及因子宫腔小且有瘢痕导致的胎儿死亡。尽管子宫呈三室外观，但此次妊娠顺利进行至35周且无并发症。
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