Maegawa Masahiko, Mitani Ryuji, Miyatani Yuka, Ueta Saki, Endo Satoko, Senuma Miho, Sakamoto Yasuki, Kamada Masaharu, Irahara Minoru
Department of Obstetrics and Gynecology Tokushima Prefectural Central Hospital 1-10-3 Kuramoto-cho 770-8539 Tokushima Japan.
Department of Obstetrics and Gynecology Institute of Health Biosciences, The University of Tokushima Graduate School 770-8503 Tokushima Japan.
Reprod Med Biol. 2011 Dec 17;11(2):105-108. doi: 10.1007/s12522-011-0116-3. eCollection 2012 Apr.
A 27-year-old woman had massive genital bleeding after an artificial abortion. Color Doppler ultrasonography showed a hypervascular mass. Hysteroscopy revealed a placental polyp. Serum hemoglobin level was decreased to 7.7 g/dl. Although uterine artery embolization (UAE) followed by hysteroscopic resection has been used for treatment of a placental polyp, UAE may not be an ideal option for patients with intent for future pregnancy because of the risk of ovarian function failure. This report presents a case of a placental polyp managed successfully with intracervical injection of prostaglandin F, as an alternative UAE, followed by hysteroscopic resection.
一名27岁女性人工流产后出现大量生殖器出血。彩色多普勒超声显示有一个高血管性肿块。宫腔镜检查发现一个胎盘息肉。血清血红蛋白水平降至7.7 g/dl。尽管子宫动脉栓塞术（UAE）联合宫腔镜切除术已用于治疗胎盘息肉，但由于存在卵巢功能衰竭的风险，UAE对于有未来妊娠意愿的患者可能不是理想的选择。本报告介绍了一例胎盘息肉患者，通过宫颈内注射前列腺素F成功治疗，作为UAE的替代方法，随后进行了宫腔镜切除术。
