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宫腔镜手术后子宫动脉假性动脉瘤的及时识别与治疗。

Timely identification and treatment of uterine artery pseudoaneurysm after hysteroscopic procedures.

作者信息

Byeon Haewon

机构信息

Department of Digital Anti-aging Healthcare (BK21), Inje University, Gimhae 50834, South Korea.

出版信息

World J Gastrointest Oncol. 2024 Dec 15;16(12):4762-4765. doi: 10.4251/wjgo.v16.i12.4762.

Abstract

Uterine artery pseudoaneurysm (UAP) is a rare but potentially life-threatening complication that can occur following hysteroscopic surgery for endometrial polyp resection. This article discusses the case study by Kakinuma , which highlights the successful diagnosis and treatment of UAP in a 48-year-old primiparous woman. Utilizing advanced imaging techniques such as ultrasound and computed tomography (CT), the medical team was able to promptly identify the UAP and subsequently perform a uterine artery embolization to treat the condition. The study underscores the critical need for rapid diagnosis and intervention to prevent severe outcomes and provides practical clinical recommendations for managing similar cases. This article aims to expand on the study's findings, discuss the clinical implications, and suggest future research directions to optimize the management of UAP post-hysteroscopic surgery.

摘要

子宫动脉假性动脉瘤(UAP)是一种罕见但可能危及生命的并发症,可发生在宫腔镜下子宫内膜息肉切除术之后。本文讨论了Kakinuma的病例研究,该研究突出了一名48岁初产妇UAP的成功诊断和治疗。通过使用超声和计算机断层扫描(CT)等先进成像技术,医疗团队能够迅速识别UAP,并随后进行子宫动脉栓塞术来治疗该病症。该研究强调了快速诊断和干预以预防严重后果的迫切需要,并为管理类似病例提供了实用的临床建议。本文旨在扩展该研究的发现,讨论临床意义,并提出未来的研究方向,以优化宫腔镜手术后UAP的管理。

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