Abstract:
Retained products of conception can cause massive bleeding that can be prevented by uterine artery embolization before resection; however, uterine artery balloon occlusion is less invasive. While scattered reports of its use for postpartum hemorrhage exist, no indications have been described. We report a case of hysteroscopic resection of retained products of conception using uterine artery balloon occlusion instead of uterine artery embolization. A 29-year-old woman, gravida 2 para 0, noted an intrauterine mass after an abortion at 7 weeks\' gestation. Follow-up visits showed insufficient lowering of human chorionic gonadotropin levels, necessitating surgical treatment. Considering the patient\'s desire to conceive, we performed uterine artery balloon occlusion to reduce the risk of perinatal complications associated with uterine artery embolization. The operation was completed without complications. The patient conceived spontaneously and had a live baby 7 months after surgery, thus proving the benefits of uterine artery balloon occlusion before hysteroscopic resection.
摘要:
保留的受孕产物可导致大量出血,可在切除前通过子宫动脉栓塞术预防;然而,子宫动脉球囊闭塞具有较小的侵入性。虽然有关于其用于产后出血的分散报道,没有迹象表明。我们报告了使用子宫动脉球囊闭塞代替子宫动脉栓塞术对保留的受孕产物进行宫腔镜切除术的情况。一个29岁的女人,妊娠2para0,注意到妊娠7周时流产后子宫内肿块。随访显示人绒毛膜促性腺激素水平下降不足,需要手术治疗。考虑到病人的受孕欲望,我们进行了子宫动脉球囊闭塞术,以降低子宫动脉栓塞相关围产期并发症的风险.手术完成,无并发症。患者自发怀孕,手术后7个月有一个活婴儿,从而证明了宫腔镜切除术前子宫动脉球囊闭塞的益处。