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稽留流产吸宫术后子宫动静脉畸形

Uterine Arteriovenous Malformations after Suction Evacuation of Missed Miscarriage.

作者信息

Javed Arshia, Chander Reeta, Hoodbhoy Zahra

机构信息

Department of Obstetrics and Gynecology, The Aga Khan Hospital for Women, Garden, Karachi.

Department of Obstetrics and Gynecology, The Aga Khan University Hospital, Karachi.

出版信息

J Coll Physicians Surg Pak. 2018 Mar;28(3):S33-S34. doi: 10.29271/jcpsp.2018.03.S33.

Abstract

Uterine arteriovenous malformation (AVM) is an uncommon but life-threating source of bleeding. AVM is an abnormal connection between uterine arteries and veins. Patients typically present with vaginal bleeding following miscarriage (medical/surgical) or cesarean section. The treatment of choice depends on the symptoms, age, desire of fertility, localization and size of the lesion. Uterine artery embolization is the first choice in symptomatic patients of reproductive age group. We report a case of AVM presenting after dilation and evacuation with extensive lesion, which was successfully treated with bilateral uterine artery embolization.

摘要

子宫动静脉畸形(AVM)是一种罕见但危及生命的出血源。AVM是子宫动脉与静脉之间的异常连接。患者通常在流产(药物/手术)或剖宫产术后出现阴道出血。治疗方法的选择取决于症状、年龄、生育意愿、病变的位置和大小。子宫动脉栓塞术是育龄期有症状患者的首选治疗方法。我们报告一例在刮宫术后出现广泛病变的AVM病例,该病例通过双侧子宫动脉栓塞术成功治愈。

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