Huang Lingna, Qiu Lini, Zhang Jinwen, Ye Hui, Xiong Xiumei
Department of Gynecology and Onbstetrics, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China.
School of Basic Medicine Sciences, Fujian Medical University, Fuzhou, Fujian, China.
Front Med (Lausanne). 2025 Aug 5;12:1584099. doi: 10.3389/fmed.2025.1584099. eCollection 2025.
Uterine arteriovenous fistula (UAVF) is a rare form of uterine arteriovenous malformation, the most characteristic clinical symptom of which is intermittent vaginal bleeding. Currently, reports on the treatment of UAVF mainly focus on uterine artery embolization (UAE), high-intensity focused ultrasound (HIFU), and surgical treatment, with relatively few reports on medical conservative therapy. This article reports the process and outcomes of medical treatment for two cases of pregnancy-related acquired UAVF and summarizes and analyzes the indications and drug selection for UAVF medical conservative treatment based on the relevant literature.
子宫动静脉瘘（UAVF）是子宫动静脉畸形的一种罕见形式，其最典型的临床症状是间歇性阴道出血。目前，关于UAVF治疗的报道主要集中在子宫动脉栓塞术（UAE）、高强度聚焦超声（HIFU）和手术治疗，而关于药物保守治疗的报道相对较少。本文报道了两例妊娠相关获得性UAVF的药物治疗过程及结果，并基于相关文献总结分析了UAVF药物保守治疗的适应证及药物选择。
