고주파 자궁근종용해술 후 임신 15주1일에 발생한 자궁파열 1예
A case of uterine rupture in IUP 15+1weeks following previous myolysis
3
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
자궁파열은 태아과 산모에게 가장 위험한 산과적 응급 질환 중 하나이다. 가임기 여성에서 흔한 양성종양인 자궁근종의 치료법으로 비침습적이고 비교적 간단한 자궁근종용해술이 최근 널리 시행되고 있다. 시술 후 임신을 했을 때 심각한 합병증으로 자궁파열을 초래 할 수 있지만 시술에 관한 적응증이나 지침은 부족한 상황이다. 이에 본원에서는 자궁근종용해술 후 임신 15주1일에 자궁파열의 1예를 경험하였기에 문헌고찰과 함께 이를 보고하는 바이다.
Abstract
The development of myolysis has allowed number of gynecologic surgeons to treat myoma instead of hysterectomy or myomectomy. However not long time has passed since this operation started, little studies were conducted on this complication and side effect. Especially, there are not enough studies about complication and prognosis related pregnancy after myolysis. One of these complications, uterine rupture during pregnancy is not frequent, but fatal condition to both mother and fetus. We report a case of uterine rupture that occurred in early second-trimester who had been myolysis 22 months before pregnancy.
참고문헌 (15)
- 김수연, "고주파 자궁근종 용해술 후 만삭 질식분만의 1예", Korean Journal of Obstetrics and Gynecology, 51(9), pp.1064~1068 (2008), 대한산부인과학회
- 정승아, "복강경하 고주파자궁근종용해술 후제왕절개분만을 시행한 2예", Korean Journal of Obstetrics and Gynecology, 51(6), pp.676~681 (2008), 대한산부인과학회
- Phillips DR, "Experience with laparoscopic leiomyoma coagulation and concomitant operative hysteroscopy", J Am Assoc Gynecol Laparosc, 4, pp.425~433 (1997)
- Vilos GA, "Pregnancy outcome after laparoscopic electromyolysis", J Am Assoc Gynecol Laparosc, 5, pp.289~292 (1998)
- Nkemayim DC, "Uterine rupture in pregnancy subsequent to previous laparoscopic electromyolysis. Case report and review of the literature", Arch Gynecol Obstet, 264, pp.154~156 (2000)
- 김재원, "임신 제이삼분기에서 발생한 자연 자궁파열 1예", Korean Journal of Obstetrics and Gynecology, 52(01), pp.91~95 (2009), 대한산부인과학회
- Buttram VC Jr, "Uterine leiomyomata: etiology, symptomatology, and management", Fertil Steril, 36, pp.433~445 (1981)
- Cramer SF, "The frequency of uterine leiomyomas", Am J Clin Pathol, 94, pp.435~438 (1990)
- Gallinat A, "Addendum-current trends in the therapy of myomata: endoscopic surgery in gynaecology", pp.69~71 (1993), Demeter-Verlag
- Goldfarb HA, "Bipolar laparoscopic needles for myoma coagulation", J Am Assoc Gynecol Laparosc, 2, pp.175~179 (1995)
- Zreik TG, "Cryomyolysis, a new procedure for the conservative treatment of uterine fibroids", J Am Assoc Gynecol Laparosc, 5, pp.33~38 (1998)
- Wood BJ, "Percutaneous tumor ablation with radiofrequency", Cancer, 94, pp.443~451 (2002)
- Ciavattini A, "Pregnancy outcome after laparoscopic cryomyolysis of uterine myomas: report of nine cases", J Minim Invasive Gynecol, 13, pp.141~144 (2006)
- Arcangeli S, "Gravid uterine rupture after myolysis", Obstet Gynecol, 89(5), pp.857~ (1997)
- Donnez J, "Laparoscopic myolysis", Hum Reprod Update, 6, pp.609~613 (2000)