胎盤ポリープに対し腹腔鏡下子宮動脈クリッピング併用子宮鏡下切除術を施行した９症例に関する検討

抄録

Objective: To investigate the clinical outcome of Transcervical Resection with laparoscopic uterine artery clipping in patients with placental polyp.

Design: Retrospective study

Setting: Single-institution case series

Patients: Nine patients with placental polyp who were admitted to the Teikyo University Chiba Medical Center between July 2014 and April 2021 were included.

Main Outcome: Prognosis and fertility

Results: Mean age of the patients was 26.2±1.3 years. Four of the previous pregnancies were first pregnancies and five were term pregnancies. The preceding mode of delivery included stillbirth in the middle of pregnancy in three cases and early abortion at 8 weeks of gestation in one case. Of the five cases that resulted in live births, two were cesarean sections. Mean time from delivery to diagnosis was 39.4±9.0 days. Postoperatively, all the patients passed without complications, such as re-bleeding or failure of removal, and treatment was completed. Natural menstruation occurred in an average of 64.5±4.7 days. As for postoperative fertility, two out of three patients, excluding the four patients who wish not to have a baby and the two patients who were difficult to follow, had live births. Additionally, one of the remaining patients is currently attempting to conceive a baby, and ovulation has been confirmed.

Conclusion: Laparoscopic uterine artery clipping for placental polyp is a useful skill for treating active vaginal bleeding and keeping fertility.