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子宫肌瘤栓塞术后妊娠。

Pregnancy after uterine fibroid embolization.

机构信息

Department of Radiology, St Louis Hospital, Faculty of Medical Sciences, New University of Lisbon, Lisbon, Portugal.

出版信息

Fertil Steril. 2011 Mar 1;95(3):1121.e5-8. doi: 10.1016/j.fertnstert.2010.08.032. Epub 2010 Sep 25.

DOI:10.1016/j.fertnstert.2010.08.032
PMID:20869702
Abstract

OBJECTIVE

To evaluate the outcome of pregnancy after uterine fibroid embolization (UFE).

DESIGN

Retrospective study.

SETTING

Private hospital affiliated with a university.

PATIENT(S): In a single center, UFE was performed in 74 patients who wanted to become pregnant.

INTERVENTION(S): Polyvinyl alcohol particles (PVA) or embozene microspheres were used to embolize the uterine arteries. Enhanced pelvic magnetic resonance was performed before UFE and 6 months after UFE in all patients.

MAIN OUTCOME MEASURE(S): The number of pregnancies and their development.

RESULT(S): Of the 74 women who wanted to become pregnant, 44 of them became pregnant (59.5%). There are five (11.3%) ongoing pregnancies and 39 (88.7%) finished pregnancies, with 33 successful live births (84.6%), four spontaneous abortions (10.3%), one induced abortion, and one stillbirth. There were 22 cesarean deliveries (66.6%), two preterm deliveries at 36 weeks (6.1%), and five low birth weights.

CONCLUSION(S): Pregnancy after UFE appears to be safe.

摘要

目的

评估子宫肌瘤栓塞术(UFE)后妊娠结局。

设计

回顾性研究。

地点

大学附属医院私立医院。

患者

在单一中心,74 名希望怀孕的患者接受了 UFE 治疗。

干预措施

聚乙烯醇颗粒(PVA)或 embozene 微球用于栓塞子宫动脉。所有患者在 UFE 前和 UFE 后 6 个月均进行增强盆腔磁共振成像。

主要观察指标

妊娠数量及其发展情况。

结果

在 74 名希望怀孕的女性中,有 44 名怀孕(59.5%)。其中有五例(11.3%)正在妊娠,39 例(88.7%)妊娠结束,33 例成功分娩(84.6%),四例自然流产(10.3%),一例引产和一例死胎。有 22 例剖宫产(66.6%),2 例早产(6.1%),5 例低出生体重儿。

结论

UFE 后妊娠似乎是安全的。

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