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本文引用的文献

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A study of pregnancy after endometrial ablation using linked population data.一项利用关联人口数据对子宫内膜切除术后妊娠情况的研究。
Acta Obstet Gynecol Scand. 2021 Feb;100(2):286-293. doi: 10.1111/aogs.14002. Epub 2020 Oct 12.
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Subinvolution of the placental site associated with focal retained products of conception and placenta accreta mimicking uterine arteriovenous malformation on CT and MRI: a lesson to be learned.胎盘部位复旧不全伴局灶性妊娠物残留及胎盘植入，在CT和MRI上酷似子宫动静脉畸形：应吸取的教训。
Radiol Bras. 2018 Mar-Apr;51(2):135-136. doi: 10.1590/0100-3984.2016.0131.
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Radiofrequency-induced endometrial ablation for the treatment of postpartum hemorrhage after vaginal delivery: Case report.射频诱导子宫内膜消融术治疗阴道分娩后产后出血：病例报告
Medicine (Baltimore). 2017 Dec;96(52):e9564. doi: 10.1097/MD.0000000000009564.
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Intrauterine balloon tamponade for the control of postpartum haemorrhage.宫腔球囊填塞术用于控制产后出血。
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5
Fertility after uterine artery embolization: a review.子宫动脉栓塞术后的生育能力：综述
Minim Invasive Ther Allied Technol. 2016;25(1):1-7. doi: 10.3109/13645706.2015.1074082. Epub 2015 Aug 29.
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Severe secondary postpartum hemorrhage: a historical cohort.严重继发性产后出血：一项历史性队列研究。
Birth. 2015 Jun;42(2):149-55. doi: 10.1111/birt.12164. Epub 2015 Apr 13.
7
Recurrent secondary postpartum hemorrhages due to placental site vessel subinvolution and local uterine tissue coagulopathy.因胎盘部位血管复旧不全及局部子宫组织凝血病导致的复发性继发性产后出血。
BMC Pregnancy Childbirth. 2014 Feb 21;14:80. doi: 10.1186/1471-2393-14-80.
8
VEGF-A regulated by progesterone governs uterine angiogenesis and vascular remodelling during pregnancy.孕激素调控的 VEGF-A 调节妊娠子宫血管生成和血管重塑。
EMBO Mol Med. 2013 Sep;5(9):1415-30. doi: 10.1002/emmm.201302618. Epub 2013 Aug 2.
9
Successful treatment for subinvolution of placental sites in the bitch with low oral doses of progestagen.口服低剂量孕激素成功治疗母犬胎盘部位复旧不全。
Reprod Domest Anim. 2013 Oct;48(5):840-3. doi: 10.1111/rda.12172. Epub 2013 Apr 9.
10
Subinvolution of placental bed vessels: case report and review of the literature.胎盘床血管退化不全：病例报告及文献复习。
Wien Klin Wochenschr. 2012 Oct;124(19-20):725-30. doi: 10.1007/s00508-012-0219-9. Epub 2012 Aug 1.

胎盘植入部位复旧不良导致产后出血的生育力保存处理。

Fertility preserving management for postpartum haemorrhage secondary to subinvolution of the placental implantation site.

机构信息

Obstetrics & Gynaecology, John Radcliffe Hospital, Oxford, UK.

Obstetrics & Gynaecology, John Radcliffe Hospital, Oxford, UK

出版信息

BMJ Case Rep. 2021 Sep 30;14(9):e245009. doi: 10.1136/bcr-2021-245009.

DOI:10.1136/bcr-2021-245009
PMID:34593553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8487198/
Abstract

A 40-year-old woman presents with recurrent secondary postpartum haemorrhage (PPH) following her third normal vaginal delivery. Histology from subsequent evacuation of the uterus confirmed that she had subinvolution of the placental implantation site. Hysterectomy is the most common method of managing this condition and recurrent PPH, most often due to significant vaginal bleeding. We present a case of subinvolution of the placental implantation site with recurrent PPH managed with medical treatment alone, to offer a fertility-sparing treatment option.

摘要

一位 40 岁的女性，在第三次正常阴道分娩后出现反复性继发性产后出血（PPH）。随后进行的子宫排空组织学检查证实她的胎盘植入部位存在子宫复旧不全。子宫切除术是治疗这种情况和反复性 PPH 的最常见方法，通常是由于大量阴道出血引起的。我们报告了一例胎盘植入部位复旧不全伴反复性 PPH 的病例，仅采用药物治疗即可控制病情，为患者提供了一种保留生育能力的治疗选择。