复发性流产合并双角子宫患者的子宫动静脉畸形。病例报告。
Uterine arteriovenous malformation in a patient with recurrent pregnancy loss and a bicornuate uterus. A case report.
作者信息
Arredondo-Soberon F, Loret de Mola J R, Shlansky-Goldberg R, Tureck R W
机构信息
Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, USA.
出版信息
J Reprod Med. 1997 Apr;42(4):239-43.
BACKGROUND
Arteriovenous malformations (AVM) of the uterus are a rare but potential cause of recurrent pregnancy loss. Only four cases of uterine AVM have resulted in a live birth after conservative management. There is no previous report in which a combination of a müllerian anomaly and an AVM existed concomitantly.
CASE
A 33-year-old woman with a history of recurrent pregnancy loss was found to have a coexistent uterine AVM and a bicornuate uterus. The patient underwent arterial embolization and Strassman metroplasty and subsequently had a term pregnancy with a live birth.
CONCLUSION
Management of uterine AVM should be individualized, taking into account the patient's desire for future fertility and the stability of her health at presentation.
背景
子宫动静脉畸形（AVM）是复发性流产的一种罕见但可能的原因。经保守治疗后，仅有4例子宫AVM患者成功分娩活婴。此前尚无子宫中隔子宫畸形与AVM并存的报道。
病例
一名有复发性流产病史的33岁女性被发现同时存在子宫AVM和双角子宫。该患者接受了动脉栓塞和斯特拉斯曼子宫成形术，随后足月妊娠并分娩活婴。
结论
子宫AVM的治疗应个体化，同时考虑患者对未来生育的期望以及就诊时的健康状况。
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