Chan Carina C, Chu Ferdinand, Pun Ting-chung
Departments of Obstetrics and Gynaecology and of Diagnostic Radiology, Queen Mary Hospital, University of Hong Kong, 102 Pokfulam Road, Hong Kong SAR, China.
J Reprod Med. 2003 Nov;48(11):905-7.
Uterine arteriovenous malformation is a rare condition. Uterine artery embolization offers the possibility of conservative management as opposed to the traditional hysterectomy. We report a case with recurrent uterine arteriovenous malformation confirmed by angiography and successfully treated with a second embolization procedure.
A 33-year-old woman presented with heavy vaginal bleeding. The diagnosis of uterine arteriovenous malformation was suspected on Doppler ultrasonography and confirmed by angiography. The first embolization procedure was performed using polyvinyl alcohol and steel coils. Recurrence was diagnosed 1 year later with the same imaging techniques. The second embolization procedure was performed using histoacryl. The patient remained asymptomatic at 1-year of follow-up.
Minimally invasive management is an option in recurrent uterine arteriovenous malformation.
子宫动静脉畸形是一种罕见病症。与传统子宫切除术不同，子宫动脉栓塞术提供了保守治疗的可能性。我们报告一例经血管造影证实为复发性子宫动静脉畸形并通过第二次栓塞术成功治疗的病例。
一名33岁女性出现严重阴道出血。经多普勒超声怀疑为子宫动静脉畸形，并经血管造影确诊。首次栓塞术使用聚乙烯醇和钢圈进行。1年后采用相同成像技术诊断为复发。第二次栓塞术使用组织黏合剂进行。患者在随访1年时无症状。
微创治疗是复发性子宫动静脉畸形的一种选择。
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