子宫动脉栓塞失败后行腹部子宫肌瘤切除术。
Abdominal myomectomy after failed uterine artery embolization.
作者信息
Floyd Serina Eisha, Proctor Jon Albert, Couchman Grace
机构信息
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA.
出版信息
Fertil Steril. 2005 Jun;83(6):1842. doi: 10.1016/j.fertnstert.2004.11.082.
OBJECTIVE
Report a case of a difficult myomectomy after a failed uterine artery embolization (UAE).
DESIGN
Case report.
SETTING
A university medical center.
PATIENT(S): A 30-year-old woman with pelvic pain and menorrhagia secondary to an enlarging 18- to 20-week-size fibroid uterus.
INTERVENTION(S): Abdominal myomectomy.
MAIN OUTCOME MEASURE(S): Complicated myomectomy after UAE.
RESULT(S): A patient underwent a difficult myomectomy after failed UAE. The myomectomy was only partially completed due to the difficult dissection of the myomas.
CONCLUSION(S): Myomectomy after UAE may be unusually difficult due to the degenerative changes that occur within the leiomyomas.
目的
报告一例子宫动脉栓塞术（UAE）失败后进行困难子宫肌瘤切除术的病例。
设计
病例报告。
地点
一所大学医学中心。
患者
一名30岁女性，因子宫肌瘤增大至18至20周大小，继发盆腔疼痛和月经过多。
干预措施
腹部子宫肌瘤切除术。
主要观察指标
UAE术后复杂的子宫肌瘤切除术。
结果
一名患者在UAE失败后接受了困难的子宫肌瘤切除术。由于肌瘤解剖困难，子宫肌瘤切除术仅部分完成。
结论
由于平滑肌瘤内发生的退行性改变，UAE术后的子宫肌瘤切除术可能异常困难。
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