Mehmet Bulbul, Berna Dilbaz, Mehmet Can Nacar, Talip Karacor
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引用次数: 0
Abstract
Hysteroscopic resection is considered the gold standard treatment for the removal of submucous uterine leiomyoma (SMLs). However, when hysteroscopic equipment is unavailable, alternative treatment approaches must be explored. In this case report, we present a video demonstrating the transcervical resection of an SML performed under transabdominal ultrasonography guidance on a patient with persistent abnormal uterine bleeding. A 37 mm Type 0 leiomyoma was successfully removed in 9 min without any complications. Six months postoperatively, the patient conceived spontaneously and delivered a healthy infant at term. This case suggests that, in the absence of hysteroscopic access, transcervical removal of SMLs using ring forceps under ultrasound guidance may serve as a safe and feasible alternative.
宫腔镜切除被认为是切除子宫粘膜下平滑肌瘤（SMLs）的金标准治疗方法。然而，当宫腔镜设备不可用时，必须探索其他治疗方法。在本病例报告中，我们展示了一段视频，演示了在经腹超声指导下对持续异常子宫出血的患者进行经宫颈SML切除术。37 mm 0型平滑肌瘤在9分钟内成功切除，无任何并发症。术后6个月，患者自然受孕，足月产下健康婴儿。本病例提示，在没有宫腔镜的情况下，超声引导下使用环钳经宫颈切除sml可能是一种安全可行的替代方法。
期刊介绍：
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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