[子宫动脉假性动脉瘤：产后出血的罕见原因]
[Uterine artery pseudoaneurysm: an unusual cause of postpartum hemorrhage].
作者信息
Delesalle C, Dolley P, Beucher G, Dreyfus M, Benoist G
机构信息
Département d'obstétrique, gynécologie et médecine de la reproduction, CHU de Caen, pôle Femme-Enfant, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France; Université de Caen Basse-Normandie, esplanade de La-Paix, 14032 Caen cedex 5, France.
Département d'obstétrique, gynécologie et médecine de la reproduction, CHU de Caen, pôle Femme-Enfant, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2015 Jan;44(1):88-92. doi: 10.1016/j.jgyn.2014.02.004. Epub 2014 Mar 20.
Uterine artery pseudoaneurysm is a rare complication of cesarean section. It can lead to severe postpartum hemorrhage. We report three cases of pseudoaneurysm diagnosed late after cesarean delivery, one followed by hemorrhagic shock. Ultrasound may point to the diagnosis, but arteriography of uterine arteries is decisive for the diagnosis. Selective artery embolization is recommended for treatment. Main advantages are complete occlusion of the pseudoaneurysm and fertility preservation.
子宫动脉假性动脉瘤是剖宫产术后一种罕见的并发症。它可导致严重的产后出血。我们报告3例剖宫产术后晚期诊断为假性动脉瘤的病例，其中1例并发失血性休克。超声检查可能提示诊断，但子宫动脉造影对诊断起决定性作用。推荐采用选择性动脉栓塞术进行治疗。主要优点是能完全闭塞假性动脉瘤并保留生育功能。
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