腹腔镜辅助子宫肌瘤切除术后子宫动脉假性动脉瘤的早期诊断与血管内治疗
Early diagnosis and endovascular management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
作者信息
Takeda Akihiro, Koyama Kazuyuki, Imoto Sanae, Mori Masahiko, Sakai Kotaro, Nakamura Hiromi
机构信息
Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
Department of Radiology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.
出版信息
Fertil Steril. 2009 Oct;92(4):1487-1491. doi: 10.1016/j.fertnstert.2008.08.019. Epub 2008 Oct 18.
OBJECTIVE
To describe the diagnosis and management of uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
DESIGN
Case reports.
SETTING
Departments of Obstetrics and Gynecology and Radiology at General Hospital.
PATIENT(S): A 32-year-old woman and a 41-year-old woman each developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
INTERVENTION(S): Uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy was diagnosed on ultrasonography, computerized tomographic angiography, and digital subtraction angiography, and treated by transcatheter arterial embolization.
MAIN OUTCOME MEASURE(S): Uterine conservation.
RESULT(S): Fertility preservation was achieved in both of these women who developed uterine artery pseudoaneurysm after laparoscopic-assisted myomectomy.
CONCLUSION(S): Early diagnosis and endovascular management of uterine artery pseudoaneurysm after myomectomy are important to prevent life-threatening hemorrhage caused by pseudoaneurysmal rupture.
目的
描述腹腔镜辅助子宫肌瘤切除术后子宫动脉假性动脉瘤的诊断和处理。
设计
病例报告。
地点
综合医院妇产科和放射科。
患者
一名32岁女性和一名41岁女性在腹腔镜辅助子宫肌瘤切除术后均发生子宫动脉假性动脉瘤。
干预措施
通过超声、计算机断层血管造影和数字减影血管造影诊断腹腔镜辅助子宫肌瘤切除术后子宫动脉假性动脉瘤，并采用经导管动脉栓塞术进行治疗。
主要观察指标
子宫保留情况。
结果
这两名在腹腔镜辅助子宫肌瘤切除术后发生子宫动脉假性动脉瘤的女性均成功保留生育功能。
结论
子宫肌瘤切除术后子宫动脉假性动脉瘤的早期诊断和血管内治疗对于预防假性动脉瘤破裂导致的危及生命的出血至关重要。
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