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介入性操作在妇产科中的作用。

Role of interventional procedures in obstetrics/gynecology.

作者信息

Lopera Jorge, Suri Rajeev, Kroma Ghazwan M, Garza-Berlanga Andres, Thomas John

机构信息

Department of Radiology, UT Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.

出版信息

Radiol Clin North Am. 2013 Nov;51(6):1049-66. doi: 10.1016/j.rcl.2013.07.008.

Abstract

In uterine fibroid embolization (UFE), knowledge of the potential ovarian-uterine anastomoses is important because they provide collateral blood flow that may result in the failure of the UFE or ovarian nontarget embolization. Uterine artery embolization is an alternative treatment of postpartum hemorrhage with 80% to 90% bleeding control and in which fertility can be preserved. Diagnosis of pelvic congestion syndrome on routine sonographic or computed tomography/magnetic resonance imaging is often missed. Fallopian tube recanalization allows couples to have unlimited attempts to conceive naturally and avoids the risks (multiple pregnancies, ovarian hyperstimulation syndrome), and high cost of in vitro fertilization.

摘要

在子宫肌瘤栓塞术(UFE)中,了解潜在的卵巢 - 子宫吻合支很重要,因为它们提供的侧支血流可能导致UFE失败或卵巢非靶器官栓塞。子宫动脉栓塞术是产后出血的一种替代治疗方法,可控制80%至90%的出血,并且能够保留生育能力。常规超声检查或计算机断层扫描/磁共振成像常常漏诊盆腔淤血综合征。输卵管再通术使夫妇能够无限期地尝试自然受孕,避免了体外受精的风险(多胎妊娠、卵巢过度刺激综合征)和高成本。

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