子宫动脉栓塞术治疗药物治疗失败的急性功能失调性子宫出血：一种新的治疗方法。
Uterine artery embolisation for acute dysfunctional uterine bleeding with failed medical therapy: a novel approach to management.
作者信息
Kho Chye Lee, Mathur Manisha
机构信息
Department of Obstetrics & Gynaecology, KK Women's & Children's Hospital, Singapore.
出版信息
BMJ Case Rep. 2015 Jan 16;2015:bcr2014204446. doi: 10.1136/bcr-2014-204446.
Abstract
A 35-year-old woman with a history of three previous caesarean sections was admitted with acute dysfunctional uterine bleeding (DUB) complicated by anaemia; she had a haemoglobin level of 5.3 g/dL, requiring multiple blood transfusions. Investigations performed excluded pelvic pathology and haematological causes for her acute DUB. Despite the use of various pharmacological agents, her bleeding persisted and she eventually underwent uterine artery embolisation (UAE) to arrest bleeding. She was well postprocedure and was discharged on combined oral contraceptives. However, she presented a year later with another episode of acute DUB that required a repeat UAE. This case report summarises the use of UAE in the management of acute DUB following failed medical therapy.
摘要
一名有三次剖宫产史的35岁女性因急性功能失调性子宫出血（DUB）并伴有贫血入院；她的血红蛋白水平为5.3 g/dL，需要多次输血。所做检查排除了盆腔病变和导致其急性DUB的血液学原因。尽管使用了各种药物治疗，她的出血仍持续不止，最终接受了子宫动脉栓塞术（UAE）以止血。术后她恢复良好，出院时服用复方口服避孕药。然而，一年后她又出现了一次急性DUB发作，需要再次进行UAE。本病例报告总结了在药物治疗失败后使用UAE治疗急性DUB的情况。
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