子宫动脉栓塞术后不孕治疗、妊娠及分娩的临床管理经验

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详细

子宫动脉栓塞术是一种微创且有效的治疗症状性子宫肌瘤的方法，但其对生育能力、妊娠过程及产科结局的影响仍存在诸多争议。

本文报告一例因子宫因素导致不孕、接受子宫动脉栓塞术后出现卵巢血管非靶向性栓塞并发症的女性患者的妊娠及分娩临床管理过程。在接受激光光谱检查评估子宫内膜状态并进行恢复性治疗后，患者成功自然妊娠。妊娠过程出现流产威胁、宫颈机能不全、正常位置胎盘早剥，并于孕32–33周早产，产后伴持续性阴道出血。

有必要开展进一步研究，以评估女性在接受子宫动脉栓塞术后的长期生殖结局，并制定诊断和预防性治疗方法，以降低并发症风险。本研究结果可促进改进对出现此类并发症患者的管理策略，并为制定治疗策略提供依据。

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作者简介

Vladimir M. Zuev

I.M. Sechenov First Moscow State Medical University; ART-ECO Reproductive Health Clinic

编辑信件的主要联系方式.
Email: vlzuev@bk.ru
ORCID iD: 0000-0001-8715-2020
SPIN 代码: 2857-0309

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow; Moscow

Olga I. Lisitsyna

ART-ECO Reproductive Health Clinic

Email: o_yazykova@inbox.ru
ORCID iD: 0000-0002-7775-3508
SPIN 代码: 5211-4258
俄罗斯联邦, Moscow

Elena А. Kalinina

ART-ECO Reproductive Health Clinic

Email: kalinina@art-ivf.ru
ORCID iD: 0000-0002-1273-8358

MD, Dr. Sci. (Medicine)

俄罗斯联邦, Moscow

Nataliya V. Goncharenko

I.M. Sechenov First Moscow State Medical University; ART-ECO Reproductive Health Clinic

Email: goncharenko_n_v@staff.sechenov.ru
ORCID iD: 0000-0003-2925-1260
俄罗斯联邦, Moscow; Moscow

Andrey V. Murashko

I.M. Sechenov First Moscow State Medical University

Email: murashkoa@mail.ru
ORCID iD: 0000-0003-0663-2909
SPIN 代码: 2841-9638

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow

Tea A. Dzhibladze

I.M. Sechenov First Moscow State Medical University; ART-ECO Reproductive Health Clinic

Email: djiba@bk.ru
ORCID iD: 0000-0003-1540-5628
SPIN 代码: 5688-1084

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow; Moscow

Irina D. Khokhlova

I.M. Sechenov First Moscow State Medical University

Email: irhohlova5@gmail.com
ORCID iD: 0000-0001-8547-6750
SPIN 代码: 6858-5235

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Moscow

Dmitrii V. Baburin

I.M. Sechenov First Moscow State Medical University

Email: baburin_d_v@staff.sechenov.ru
ORCID iD: 0000-0003-2398-3348
SPIN 代码: 3264-0730

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Moscow

参考

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补充文件

附件文件
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1. JATS XML
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2. Fig. 1. Ultrasound of the uterus during the patient’s first visit.

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3. Fig. 2. View of the uterine cavity during office hysteroscopy.

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4. Fig. 3. View of the uterine cavity after the birth of the fetus and removal of the placenta (a section of the cavity devoid of endometrium is visible).

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5. Fig. 4. Ultrasound of the uterus 11 weeks after birth.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ЭЛ № ФС 77 - 80633 от 15.03.2021 г.