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首页> 外文期刊>The journal of obstetrics and gynaecology research >Uterine preservation surgery for placental polyp
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Uterine preservation surgery for placental polyp

机译：胎盘息肉的子宫保存手术

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Aim: To examine clinical and surgical performances of cases with placental polyps in which uterine preservation surgery was conducted. Methods: During the period September 2002 to April 2009, we examined eight cases (hysteroscopic resection, six cases; laparotomy, one case; dilatation and curettage, one case) diagnosed with placental polyp that had been treated with polyp extraction surgery. Imaging evaluation was done using magnetic resonance imaging and 2-D ultrasound. Results: Three of the eight cases (37.5%) had been first-time pregnancies. Most of our cases experienced minimal surgical manipulation after medical abortion. Among them, six cases (75%) were mid-term medical abortions, one case (12.5%) received no treatment after spontaneous abortion, and one case (12.5%) had postsurgical abortion (dilatation and curettage). All cases showed variable amount of blood flow in the internal mass and myometrium by color Doppler ultrasound. Magnetic resonance imaging angiography showed contrast effects in the intrauterine cavity and myometrium in selected cases. The average duration from diagnosis to surgery was 32 days (range, 11-105). Color Doppler revealed a reduction in blood flow in five cases during the waiting period until surgery with an average blood loss of 10 g (range, 0-20) during surgery. Conclusion: Use of color Doppler ultrasound may be useful in diagnosing placental polyp. Although hysteroscopic resection of placental polyp is effective in patients hoping for uterine preservation, delaying timing of surgery may reduce blood loss during operative procedure.
机译：目的：探讨进行了保胎手术的胎盘息肉患者的临床和手术表现。方法：在2002年9月至2009年4月期间，我们检查了8例诊断为胎盘息肉并经息肉摘除术治疗的病例（宫腔镜切除术6例;剖腹术1例;扩张刮宫术1例）。使用磁共振成像和二维超声进行成像评估。结果：8例中的3例（37.5％）为首次怀孕。我们的大多数病例在药物流产后经历的手术操作最少。其中，有6例（75％）为中期药物流产，其中1例（12.5％）为自然流产后未接受治疗，还有1例（12.5％）为术后流产（扩张和刮宫）。所有病例均通过彩色多普勒超声检查显示其内部肿块和子宫内膜的血流量可变。磁共振成像血管造影显示在某些情况下子宫内腔和子宫肌层有对比作用。从诊断到手术的平均持续时间为32天（范围11-105）。彩色多普勒仪显示，在等待手术之前的等待期间有5例患者的血流量减少，手术期间平均失血10 g（0-20）。结论：彩色多普勒超声检查对诊断胎盘息肉可能有用。尽管宫腔镜下切除胎盘息肉对希望保留子宫的患者有效，但延迟手术时间可减少手术过程中的失血量。

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