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.
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.
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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