Hystero-resectoscopyを用いて除去・止血を行った胎盤ポリープの1例

概要

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Blind curettage of the uterine cavity for a late postpartum hemorrhage sometimes causes serious complications, such as massive uterine bleeding and perforation of the uterus. We treated a patient with continuous postpartum bleeding by using a hystero-resectoscope to remove a placental polyp. We used a cutting loop with electrical stimulation for a curettage on hystero-resectoscopy. We could remove the polyp easily, and immediately after the curettage the hemorrhage ceased. The curettans were confirmed as remnants of trophoblast cells forming a placental polyp hystologically. No major complications were observed during or after the procedure, and postoperative ultrasonography showed no residual mass in the uterine cavity. Endo-uterine resection of a placental polyp with a hysteroscope is thought to be a safer and more satisfying intervention than conventional uterine curettage.
社団法人日本産科婦人科学会の論文
1999-06-01