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子宫创伤所致子宫动静脉畸形的成功治疗

Successful Treatment of Uterine Arteriovenous Malformation due to Uterine Trauma.

作者信息

Karadag Burak, Erol Onur, Ozdemir Ozgur, Uysal Aysel, Alparslan Ahmet Sukru, Gurses Cemil, Koroglu Mert

机构信息

Department of Obstetrics and Gynecology, Antalya Training and Research Hospital, Antalya, Turkey.

Department of Radiology, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Case Rep Obstet Gynecol. 2016;2016:1890650. doi: 10.1155/2016/1890650. Epub 2016 Sep 6.

Abstract

Uterine arteriovenous malformation (AVM) is defined as abnormal and nonfunctional connections between the uterine arteries and veins. Although the patients typically present with vaginal bleeding, some patients may experience life-threatening massive bleeding in some circumstances. The treatment of choice depends on the symptoms, age, desire for future fertility, and localization and size of the lesion; however, embolization of the uterine artery is the first choice in symptomatic AVM in patients at reproductive age with expectations of future fertility. We report a case of acquired AVM (after D/C) with an extensive lesion, which was successfully treated with bilateral uterine artery embolization (UAE).

摘要

子宫动静脉畸形(AVM)被定义为子宫动脉与静脉之间异常且无功能的连接。尽管患者通常表现为阴道出血,但在某些情况下,一些患者可能会经历危及生命的大出血。治疗方法的选择取决于症状、年龄、对未来生育的期望以及病变的位置和大小;然而,对于有生育期望的育龄期有症状的AVM患者,子宫动脉栓塞是首选治疗方法。我们报告一例获得性AVM(刮宫术后)伴有广泛病变的病例,该病例通过双侧子宫动脉栓塞(UAE)成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3352/5028872/1198aa1f79d3/CRIOG2016-1890650.001.jpg

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