Fertility and uterine artery embolization.
Fertility and uterine artery embolization.
复制标题
生育和子宫动脉栓塞。
DOI：
10.1097/aog.0b013e3181e9ec28
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发表时间：
2010
影响因子：
7.2
通讯作者：
Stewart,ElizabethA
中科院分区：
文献类型：
--
作者：
Coddington,CharlesC;Stewart,ElizabethA
一位37岁未经生育的妇女因不孕症一年来转介到我们的机构。12岁初潮后，她的月经每28天一次，直到18个月前出现。两年前，她接受了子宫动脉栓塞治疗子宫肌瘤，6个月后，她的月经变得不规则，每2 - 3个月发生一次。除此之外，她很健康，没有服用任何药物，也从未接受过任何手术。她的母亲在54岁时经历了更年期，而她41岁的妹妹仍然定期月经。体格检查发现一个健康的妇女与平滑肌瘤子宫13孕周。在子宫动脉栓塞之前，据报道子宫为16孕周，最大的肌瘤位于壁内，直径为7 cm。子宫动脉栓塞术的适应症为“压迫症状”。经阴道超声检查显示子宫肌瘤，最大肌瘤直径为4 cm。窦卵泡计数为4（预期数量为6 - 10）。超声子宫造影显示子宫腔没有变形，也没有任何肌瘤。卵泡早期（周期第3天）的血清促卵泡激素（FSH）水平为20毫国际单位/毫升（绝经前女性的预期范围低于10毫国际单位/毫升）。在随后的周期中重复这一过程，并且仍然增加至19毫国际单位/mL。由于窦卵泡计数低和基础FSH水平升高，患者接受了体外受精（IVF）治疗。她需要大量的促性腺激素注射，并产生了两个优势卵泡。在两个卵母细胞中，一个胚胎发育并被移植到子宫腔中。她没有怀孕。在第二
A37-year-old nulliparous woman was referred to our institution for infertility of 1 year’s duration. After menarche at 12 years of age, her menses were regular every 28 days until 18 months before presentation. Two years earlier, she underwent uterine artery embolization for uterine leiomyomas, and 6 months later, her menses became irregular, occurring every 2 to 3 months. She was healthy otherwise, did not take any medication, and had never experienced any surgery. Her mother experienced menopause at the age of 54 years, and her 41-year-old sister was still menstruating regularly. Physical examination revealed a healthy woman with a leiomyoma uterus of 13 gestational weeks. Before uterine artery embolization, the uterus was reported to be 16 gestational weeks, and the largest myoma was intramural and 7 cm in diameter. The indication for uterine artery embolization was stated to be “pressure symptoms.” A transvaginal ultrasound examination demonstrated uterine myomata with the largest myoma of 4 cm in diameter. The antral follicle count was 4 (expected number is 6 to 10). A sonohysterogram showed that the uterine cavity was not deformed and was devoid of any myoma. The serum follicle-stimulating hormone (FSH) level in the early follicular phase (day 3 of the cycle) was 20 milli–international units/mL (expected range for premenopausal woman is less than 10 milli–international units/mL). This was repeated in the subsequent cycle and was still increased at 19 milli–international units/mL. Because of the low antral follicle count and increased basal FSH level, the patient was treated with in vitro fertilization (IVF). She required a large number of gonadotropin injections and produced two dominant follicles. Of two oocytes, one embryo developed and was transferred into the uterine cavity. She did not conceive. In the second
附件包块：何时观察、何时干预、何时参考。
影响因子：
7.2
作者：
J. Hall
通讯作者：
J. Hall
英格兰东南部卵巢癌患者的管理和生存。
影响因子：
8.4
作者：
C. Wolfe;K. Tilling;Ks Raju
通讯作者：
Ks Raju
子宫肌瘤：完整指南
DOI：
--
发表时间：
2008
期刊：
影响因子：
--
作者：
M. Walid
通讯作者：
M. Walid