巨大带蒂平滑肌瘤的术前磁共振成像及产前肌瘤切除术
Preoperative magnetic resonance imaging and antepartum myomectomy of a giant pedunculated leiomyoma.
作者信息
Alanis Mark C, Mitra Avick, Koklanaris Nikki
机构信息
Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, North Carolina, USA.
出版信息
Obstet Gynecol. 2008 Feb;111(2 Pt 2):577-9. doi: 10.1097/01.AOG.0000297314.62914.f7.
BACKGROUND
Antepartum myomectomy is reserved for severe pain and prevention of fetal complications. Magnetic resonance imaging has been useful in nonpregnant women for preoperative management and patient counseling.
CASE
A primigravida was admitted at 12 weeks of gestation in severe acute abdominal pain with a large abdominal mass, confirmed by magnetic resonance imaging to be a pedunculated 30x27x19-cm uterine leiomyoma. An uncomplicated abdominal myomectomy was performed, incorporating a flat cup vacuum device to mobilize the mass without disturbing the gravid uterus. The patient later had an uncomplicated term vaginal delivery and healthy newborn.
CONCLUSION
Magnetic resonance imaging and a flat cup vacuum device were helpful in preoperative planning and performing an uncomplicated abdominal myomectomy during pregnancy, respectively.
背景
产前子宫肌瘤切除术适用于严重疼痛和预防胎儿并发症。磁共振成像在非孕妇的术前管理和患者咨询中很有用。
病例
一名初产妇在妊娠12周时因严重急性腹痛并伴有巨大腹部肿块入院，磁共振成像证实为一个有蒂的30×27×19厘米子宫平滑肌瘤。进行了一次无并发症的腹部子宫肌瘤切除术，使用扁平杯状真空装置在不干扰妊娠子宫的情况下移动肿块。患者后来顺利足月阴道分娩并产下健康新生儿。
结论
磁共振成像和扁平杯状真空装置分别有助于术前规划和在孕期进行无并发症的腹部子宫肌瘤切除术。
Zotero 插件