通过阴道超声导向的血注射用于怀孕期间的卵细胞检索后瘤
Vishnu Prasad Pulappadi1, Santhosh Poyyamoli1, Sumathi Natarajan2
1Interventional Radiology, Kovai Medical Center and Hospital, Coimbatore, IND.
Cureus
|June 17, 2025
概括
通过阴道超声学引导的栓塞成功治疗了一名怀孕患者的伪动脉瘤,避免了胎儿的辐射暴露. 这种微侵袭的技术实现了立即的血栓形成和持续的闭塞,解决了症状.
科学领域:
- 干预性放射学 干预性放射学
- 生殖医学 生殖医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 通过阴道超声波 (TVS) 引导的卵细胞采集是体外受精的标准.
- 诸如伪动脉瘤之类的妊娠并发症需要谨慎管理,以避免对胎儿造成伤害.
研究的目的:
- 介绍一个TVS引导栓塞的案例,用于治疗怀孕患者的左侧参数性伪动脉瘤.
- 为了证明一种最小的侵入性方法来管理怀孕期间的伪动脉瘤,避免辐射暴露.
- 为了突出溶解型血栓素对伪动脉瘤血栓的疗效.
主要方法:
- 一个42岁的初怀孕妇女在她的第二个三个月表现出阴道出血和疼痛.
- 磁共振成像和TVS证实了左侧参数性伪动脉瘤.
- 使用千巴针和冷血栓的TVS引导栓塞进行了.
主要成果:
- 这项程序立即实现了伪动脉瘤的血栓形成.
- 患者经历了减轻腹部疼痛和停止阴道出血.
- 一个月后的随访TVS证实了持续的伪动脉瘤闭塞.
结论:
- TVS引导栓塞是一种安全有效的治疗怀孕时的伪动脉瘤.
- 溶解型血栓是实现快速血栓形成的可行的药物.
- 这种技术为管理这种并发症提供了一个无辐射的替代方案,保护胎儿.
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