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首页> 外文期刊>The journal of obstetrics and gynaecology research >Spontaneous uterine rupture at 32 weeks of gestation after previous uterine artery embolization
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Spontaneous uterine rupture at 32 weeks of gestation after previous uterine artery embolization

机译：先前子宫动脉栓塞后妊娠32周时自发性子宫破裂

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摘要

Uterine artery embolization (UAE) is a common treatment for post-partum hemorrhage and uterine fibroids. However, the effects of UAE on subsequent pregnancies have not been established. Here, we present a case of spontaneous uterine rupture after previous UAE. A 31-year-old woman underwent UAE for a cervical ectopic pregnancy. Contrast-enhanced magnetic resonance imaging (MRI) at days 5 and 25 post-UAE suggested a regionally decreased blood supply in the mid-posterior wall of the uterine fundus. During a subsequent pregnancy at age 35 years, she underwent an emergency cesarean delivery due to spontaneous uterine rupture at the mid-posterior wall of the uterus at 32 weeks of gestation. Obstetricians should be attentive to the possibility of spontaneous uterine rupture in pregnant women who have previously undergone UAE. Detection of ischemic uterine muscle on MRI may predict potential for uterine rupture in a subsequent pregnancy.
机译：子宫动脉栓塞术（UAE）是产后出血和子宫肌瘤的常见治疗方法。但是，尚未确定阿联酋对随后怀孕的影响。在这里，我们介绍一例先前阿联酋发生自发性子宫破裂的病例。一名31岁的妇女因宫颈异位妊娠而接受阿联酋的治疗。 UAE后第5天和第25天的对比增强磁共振成像（MRI）显示子宫底后壁中部的血液供应局部减少。在随后的35岁怀孕期间，由于妊娠32周时子宫中后壁自发性子宫破裂，她接受了紧急剖宫产。产科医师应注意先前接受过阿联酋治疗的孕妇自发性子宫破裂的可能性。在MRI上检测到缺血性子宫肌可预测随后妊娠子宫破裂的可能性。

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