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孕期子宫肌瘤切除术:一种可行的选择。

Myomectomy during pregnancy: a feasible option.

作者信息

Bhatla Neerja, Dash Biswa Bhushan, Kriplani Alka, Agarwal Nutan

机构信息

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Obstet Gynaecol Res. 2009 Feb;35(1):173-5. doi: 10.1111/j.1447-0756.2008.00873.x.

Abstract

Myomectomy is rarely performed during an ongoing pregnancy because of fear of pregnancy loss and the risk of uncontrolled hemorrhage necessitating hysterectomy. Even now, few cases are performed during pregnancy and most cases have been performed at the time of Cesarean section. A case of successful myomectomy performed in the second trimester for a large subserous fibroid, weighing 3900 g and causing severe pressure symptoms and subacute intestinal obstruction, is described. The pregnancy continued uneventfully until term.

摘要

由于担心流产以及存在因无法控制的出血而需行子宫切除术的风险,在妊娠期间很少进行肌瘤切除术。即便到现在,妊娠期间进行肌瘤切除术的病例仍很少,且大多数病例是在剖宫产时进行的。本文描述了一例在孕中期成功进行肌瘤切除术的病例,患者有一个重达3900克的大浆膜下肌瘤,引起严重的压迫症状和亚急性肠梗阻。妊娠一直顺利持续至足月。

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