一例胎盘息肉患者，术中注射前列腺素F后行宫腔镜切除术。
A case of placental polyp treated with an intraoperative injection of prostaglandin F followed by hysteroscopic resection.
作者信息
Maegawa Masahiko, Mitani Ryuji, Miyatani Yuka, Ueta Saki, Endo Satoko, Senuma Miho, Sakamoto Yasuki, Kamada Masaharu, Irahara Minoru
机构信息
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.
出版信息
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。
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