子宫动静脉畸形栓塞术后双胎妊娠
Embolization of a uterine arteriovenous malformation followed by a twin pregnancy.
作者信息
Gopal Manish, Goldberg Jay, Klein Thomas A, Fossum Gregory T
机构信息
Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
出版信息
Obstet Gynecol. 2003 Oct;102(4):696-8. doi: 10.1016/s0029-7844(03)00714-2.
BACKGROUND
Uterine arteriovenous malformation is a lesion that can cause recurrent pregnancy loss. Very few successful pregnancies have been reported after selective embolization of an arteriovenous malformation.
CASE
A 42-year-old gravida 6 para 0 with a history of four first-trimester spontaneous abortions was found to have a uterine arteriovenous malformation by hysterosalpingogram, which was confirmed by magnetic resonance angiography. She underwent selective transcatheter embolization of the arteriovenous malformation. A twin gestation was later conceived via in vitro fertilization. The twins were delivered by cesarean at term.
CONCLUSION
Uterine arteriovenous malformation can be successfully treated with selective embolization, with good obstetric outcome.
背景
子宫动静脉畸形是一种可导致反复流产的病变。关于动静脉畸形选择性栓塞术后成功妊娠的报道极少。
病例
一名42岁孕妇，孕6产0，有4次孕早期自然流产史，子宫输卵管造影检查发现子宫动静脉畸形，磁共振血管造影证实。她接受了动静脉畸形的选择性经导管栓塞术。后来通过体外受精怀上了双胞胎。双胞胎足月剖宫产分娩。
结论
子宫动静脉畸形通过选择性栓塞可成功治疗，产科结局良好。
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