Soeda Shu, Kyozuka Hyo, Suzuki Satoshi, Yasuda Shun, Nomura Yasuhisa, Fujimori Keiya
Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Fukushima J Med Sci. 2014;60(1):86-90. doi: 10.5387/fms.2013-13. Epub 2014 Mar 27.
Uterine arteriovenous malformation (AVM) is generally associated with uterine trauma such as dilatation and curettage, therapeutic abortion, uterine surgery and uterine malignant tumors(1)). Uterine artery embolization (UAE) is performed on patients with uterine AVM who have desire for future pregnancy(2)). Some successful pregnancies were reported after UAE for uterine AVM(5,6)), however complication during pregnancy has not been described clearly. We herein for the first time report two cases of successful pregnancy and spontaneous delivery after UAE for uterine AVM who had placenta accreta and placental abruption respectively. Although successful pregnancy is possible after UAE for AVM, placenta abnormalities have to be considered during pregnancy and after delivery.
子宫动静脉畸形（AVM）通常与子宫创伤有关，如刮宫术、治疗性流产、子宫手术和子宫恶性肿瘤(1)。对于有未来妊娠意愿的子宫AVM患者，可进行子宫动脉栓塞术（UAE）(2)。有报道称，UAE治疗子宫AVM后有一些成功妊娠的案例(5,6)，然而孕期并发症尚未有明确描述。我们在此首次报告两例子宫AVM患者在接受UAE治疗后成功妊娠并顺产的病例，这两例患者分别发生了胎盘植入和胎盘早剥。虽然UAE治疗AVM后有可能成功妊娠，但孕期及产后必须考虑胎盘异常情况。
