子宫动脉栓塞术治疗难治性子宫腺肌病两疗程后成功妊娠：病例报告及简要复习。
Successful pregnancy outcome in refractory adenomyosis treated with two sessions of uterine artery embolization: A case report and brief review.
机构信息
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi 110029, India.
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi 110029, India.
出版信息
J Gynecol Obstet Hum Reprod. 2021 Sep;50(7):102132. doi: 10.1016/j.jogoh.2021.102132. Epub 2021 Mar 26.
INTRODUCTION
Adenomyosis associated abnormal uterine bleeding (AUB-A) often remains non-responsive to medical management. Uterine sparing treatment in young patients presenting with refractory AUB-A poses a challenge.
CASE REPORT
A 28-years-old woman presenting with AUB-A with failed medical therapy did not improve with uterine artery embolization (UAE). She underwent a second session of UAE with smaller embolic particles to which she responded. The reported case is interesting as patient conceived spontaneously despite transiently diminished post-UAE ovarian reserves, indicating spontaneous recovery of ovarian function.
CONCLUSION
UAE is a promising option for young patients, though UAE for adenomyosis may require smaller embolic particles to be effective which may diminish ovarian reserves due to non-target effects, however recovery is possible in young patients..
介绍
腺肌病相关异常子宫出血（AUB-A）常对药物治疗无反应。对于有难治性 AUB-A 的年轻患者，保留子宫的治疗方法是一个挑战。
病例报告
一位 28 岁的女性因 AUB-A 就诊，药物治疗失败，子宫动脉栓塞术（UAE）也没有改善。她接受了第二次 UAE 治疗，使用了更小的栓塞颗粒，这对她有效。该病例很有趣，因为尽管 UAE 治疗后卵巢储备短暂减少，但患者仍自然受孕，表明卵巢功能自发恢复。
结论
UAE 是年轻患者的一种有前途的选择，尽管 UAE 治疗腺肌病可能需要更小的栓塞颗粒才能有效，这可能会由于非靶向作用而减少卵巢储备，但在年轻患者中是有可能恢复的。
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