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巨大子宫肌瘤切除术中使用腔静脉球囊阻塞预防肺栓塞

Vena cava balloon occlusion for pulmonary embolism prevention during resection of giant uterus fibroids.

作者信息

Kotsis Thomas, Christoforou Panagitsa, Chatziioannou Achilles, Memos Nikolaos, Theodoraki Kassiani, Konstadoulakis Manousos

机构信息

Vascular Unit, 2nd Department of Surgery, "ARETAIEIO" Hospital, National & Kapodistrian University of Athens Medical School, Athens, Greece.

1st Department of Radiology, "ARETAIEIO" Hospital, National & Kapodistrian University of Athens Medical School, Athens, Greece.

出版信息

J Surg Case Rep. 2022 May 25;2022(5):rjac234. doi: 10.1093/jscr/rjac234. eCollection 2022 May.

DOI:10.1093/jscr/rjac234
PMID:35665394
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9154065/
Abstract

We report the case of a single 46-year-old woman presenting with huge uterine fibroids growing for the last 12 years, resulting in a recent common iliac vein thrombosis. Due to the high risk for pulmonary embolism, an occluding balloon was inserted through the right jugular vein before the abdominal incision and occluded the vena cava just inferior to the renal veins. The tumor was easily mobilized, and the vena cava bifurcation was exposed and controlled until the uterus with the masses was resected. We recommend this method for oncovascular surgeries involving deep vein thrombosis and vein thromboembolism.

摘要

我们报告了一例46岁女性病例，该患者有巨大子宫肌瘤，已生长12年，近期导致了髂总静脉血栓形成。由于肺栓塞风险高，在腹部切口前经右颈静脉插入封堵球囊，在肾静脉下方封堵下腔静脉。肿瘤易于游离，暴露并控制下腔静脉分叉，直至切除带有肿块的子宫。对于涉及深静脉血栓形成和静脉血栓栓塞的肿瘤血管手术，我们推荐这种方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/e031fb0076a0/rjac234f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/2975398ee477/rjac234f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/b0f6ba19792b/rjac234f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/fade963cb999/rjac234f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/e031fb0076a0/rjac234f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/2975398ee477/rjac234f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/b0f6ba19792b/rjac234f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/fade963cb999/rjac234f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98cc/9154065/e031fb0076a0/rjac234f4.jpg

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本文引用的文献

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The Bridge Occlusion Balloon for Venous Angioplasty in Superior Vena Cava Occlusion.用于上腔静脉阻塞静脉血管成形术的桥接闭塞球囊
Braz J Cardiovasc Surg. 2019 Jun 1;34(3):368-371. doi: 10.21470/1678-9741-2018-0289.
2
Case series of seven women with uterine fibroids associated with venous thromboembolism and chronic thromboembolic disease.7例患有与静脉血栓栓塞和慢性血栓栓塞性疾病相关的子宫肌瘤的女性病例系列。
Pulm Circ. 2019 Jan-Mar;9(1):2045894018803873. doi: 10.1177/2045894018803873. Epub 2018 Sep 11.
3
Uterine fibroids.子宫肌瘤。
Nat Rev Dis Primers. 2016 Jun 23;2:16043. doi: 10.1038/nrdp.2016.43.
4
Extensive Left Iliac Veins and Inferior Vena Cava Thrombosis Revealing a Giant Uterine Myoma.广泛的左髂静脉和下腔静脉血栓形成揭示了巨大子宫肌瘤
Rom J Intern Med. 2016 Jan-Mar;54(1):70-3. doi: 10.1515/rjim-2016-0009.
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Severe anemia from heavy menstrual bleeding requires heightened attention.因月经过多导致的严重贫血需要格外关注。
Am J Obstet Gynecol. 2015 Jul;213(1):97.e1-97.e6. doi: 10.1016/j.ajog.2015.04.023. Epub 2015 Apr 29.
6
Sudden Death by Pulmonary Thromboembolism due to a Large Uterine Leiomyoma with a Parasitic Vein to the Mesentery.因巨大子宫平滑肌瘤伴寄生性肠系膜静脉导致的肺血栓栓塞症猝死
Case Rep Obstet Gynecol. 2014;2014:181265. doi: 10.1155/2014/181265. Epub 2014 Dec 21.
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