腹腔镜手术后成功妊娠：严重复发性盆腔动静脉畸形采用腹腔镜髂内动脉结扎治疗。
A Successful Pregnancy after Laparoscopic Surgery: Severe Recurrent Pelvic Arteriovenous Malformation Managed by Laparoscopic Internal Iliac Artery Ligation.
机构信息
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing, China (all authors).
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing, China (all authors).
出版信息
J Minim Invasive Gynecol. 2021 Sep;28(9):1568. doi: 10.1016/j.jmig.2021.04.008. Epub 2021 Apr 21.
STUDY OBJECTIVE
To show a case of severe pelvic arteriovenous malformation (AVM) treated by laparoscopic internal iliac artery ligation after 2 uterine artery embolization (UAE) procedures, where successful pregnancy was achieved after surgery.
DESIGN
Stepwise demonstration of the technique with a video.
SETTING
Chinese PLA General Hospital.
INTERVENTIONS
A 36-year-old woman with heavy menstrual bleeding was diagnosed with pelvic AVM by computed tomography scan. Before surgical intervention, she underwent 2 UAE procedures that temporarily reduced menstrual blood loss. Finally, we performed a laparoscopic internal iliac artery ligation on her. After the surgery, she conceived naturally. During the cesarean section, no AVMs were found.
CONCLUSION
Laparoscopic internal iliac artery ligation can be a choice for patients who still have severe symptoms of AVM after UAE.
研究目的
展示一例经 2 次子宫动脉栓塞（UAE）治疗后行腹腔镜下髂内动脉结扎治疗的严重盆腔动静脉畸形（AVM）病例，该患者术后成功妊娠。
设计
分步演示技术，配有视频。
地点
中国人民解放军总医院。
干预措施
一名 36 岁的月经过多妇女经计算机断层扫描诊断为盆腔 AVM。在手术干预之前，她接受了 2 次 UAE 治疗，暂时减少了月经出血量。最后，我们对她进行了腹腔镜下髂内动脉结扎术。手术后，她自然受孕。在剖宫产过程中，未发现 AVM。
结论
对于 UAE 后仍有严重 AVM 症状的患者，腹腔镜下髂内动脉结扎术是一种选择。
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