一名不孕女性葡萄胎妊娠后发生广泛性子宫动静脉畸形的病例报告。 （注：原文中“Ggeneralized”拼写错误，应为“Generalized”）
A case report of Ggeneralized uterine arteriovenous malformation after molar pregnancy in an infertile woman.
作者信息
Ahmadi Firoozeh, Moukhah Somayeh
机构信息
Department of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
出版信息
Int J Reprod Biomed. 2018 Feb;16(2):119-122.
BACKGROUND
Uterine arteriovenous malformation (UAVM) is a rare vascular condition in reproductive age presented mostly with bleeding. Although this malformation is infrequent, it is potentially life-threatening. Transvaginal Doppler ultrasonography is a widely available, noninvasive and excellent diagnostic method.
CASE
The case is a 30-yr-old woman with a history of eight-yr infertility.following intrauterine insemination treatment, she had a molar pregnancy. Despite methotrexate treatment, there was persistent vaginal bleeding. Assessment of this patient was done with transvaginal sonography and color Doppler. According to suspicious appearances, angiography was planned for confirmation of UAVM.
CONCLUSION
UAVM is one of the molar pregnancy complications. The first step for diagnosis of UAVM is transvaginal ultrasonography and color Doppler assessment. Embolization is the best treatment for women who intend to preserve fertility.
背景
子宫动静脉畸形（UAVM）是一种在育龄期罕见的血管疾病，主要表现为出血。尽管这种畸形并不常见，但可能危及生命。经阴道多普勒超声检查是一种广泛可用、无创且出色的诊断方法。
病例
该病例为一名30岁女性，有8年不孕史。在接受宫腔内人工授精治疗后，她发生了葡萄胎妊娠。尽管接受了甲氨蝶呤治疗，但仍有持续性阴道出血。通过经阴道超声检查和彩色多普勒对该患者进行了评估。根据可疑表现，计划进行血管造影以确诊UAVM。
结论
UAVM是葡萄胎妊娠的并发症之一。诊断UAVM的第一步是经阴道超声检查和彩色多普勒评估。栓塞是对有生育意愿女性的最佳治疗方法。
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