| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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タイトル |
Efficacy and Complications of Emergent Transcatheter Arterial Embolization for the Management of Intractable Uterine Bleeding |
| 言語 |
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言語 |
eng |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Transcatheter arterial embolization |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
uterine artery embolization |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
intractable uterine bleeding |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Motegi, Emi
Hasegawa, Kiyoshi
Ochiai, Shoko
Watanabe, Mariko
Tada, Kazumi
Miyashita, Susumu
Obayashi, Satoshi
Inamura, Kensuke
Ikeda, Hiroaki
Shioyama, Yasukazu
Kaji, Yasushi
Fukasawa, Ichio
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| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Radiology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Radiology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Radiology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Radiology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 著者所属 |
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Department of Obstetrics and Gynecology, Dokkyo Medical University, Mibu, Tochigi, Japan |
| 書誌情報 |
Dokkyo Journal of Medical Sciences
巻 47,
号 1,
p. 15-25,
発行日 2020-03-25
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| 要旨(英) |
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内容記述タイプ |
Other |
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内容記述 |
Objective：Transcatheter arterial embolization（TAE）, including uterine artery embolization（UAE）, is effective for the management of obstetric and gynecologic hemorrhage. Some adverse effects have been reported with TAE, such as amenorrhea, endometrial trauma, and subsequent infertility. Herein we report the efficacy and complications of emergent TAE for the management of severe intractable uterine bleeding at our institute.
Methods：From 2010 to 2019, thirty-eight patients underwent emergent TAE for intractable uterine bleeding. We evaluated the efficacy and complications of TAE, including a change in menstruation, fertility, and pregnancy outcomes in perinatal patients（group A；n＝23）, and in patients with gynecologic hemorrhage（group B；n＝15）.
Results：In group A, 7 cases of retained placenta, 4 cases of postpartum hemorrhage, 2 cases of placenta accrete, 2 cases of uterine artery pseudoaneurysm, 2 cases of cervical pregnancy, 1 case of cesarean scar pregnancy, and 5 cases of unexplained hemorrhage were included. The median age of the group A was 37. In group B, 4 cases of uterine artery pseudoaneurysm, 2 cases of uterine arteriovenous malformation, 3 cases of uterine fibroids, 1case of adenomyosis, and 5 cases of unexplained hemorrhage were included. The median age of the group B was 39. The first attempt at TAE successfully controlled hemorrhage in 33 of 38 patients （86.8％）without major complications, and the remaining 5 patients required an additional attempt at TAE to control hemorrhage. One patient（2.6％）had transient buttock pain and foot ischemia. Among the 33 patients who had adequate follow-up care, all patients resumed regular menstruation. The median time to resume regular menstruation after TAE was 3 months （range, 1-13 months）in group A（n＝20）and 1 month（range, 1-6 months）in group B（n＝13）. Four of patients had 6 pregnancies in total：3 full-term live births, 2 missed abortions, and 1 artificial abortion. Among the 13 patients who desired pregnancy, 3（23％）conceived spontaneously.
Conclusions：This retrospective study showed that emergent TAE may be effective and safe in treating intractable uterine bleeding with a high success rate. Ovarian and endometrial function were preserved based on the relatively early return of menstruation. Further prospective investigations with large number of patients are needed to confirm the preservation of ovarian function, fertility, and pregnancy outcome in reproductive-aged women. |
| 記事種別 |
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Original |
| 出版者 |
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出版者 |
獨協医学会 |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03855023 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA00629581 |
DJMS-47-1-Motegi-本文 (101.6 kB)
