Clinical study of uterine artery embolization for 19 cases of uterine arteriovenous malformations

doi:10.3877/cma.j.issn.2095-5782.2020.03.009

Abstract

Abstract:

Objective

To observe the clinical effect of uterine artery embolization (UAE) in the treatment of uterine arteriovenous malformation.

Methods

19 patients with uterine arteriovenous malformation underwent UAE in our hospital from April 2014 to December 2019 were selected to evaluate the therapeutic effect and prognosis.

Results

15 of the 19 patients were successfully treated with one-time UAE. The patients complained of mild pain and discomfort in the right lower abdomen after operation. The symptoms disappeared 2-5 days after operation.There were still bleeding in the remaining 4 cases, of which 2 cases were converted to surgery, and the other 2 cases were improved after conservative treatment. No serious complications occurred in 19 patients.

Conclusions

Although uterine arteriovenous malformation is rare in clinical practice, it is easy to cause serious consequences. UAE is a minimally invasive, efficient and repeatable treatment for uterine arteriovenous malformation, which can be the first choice for those without contraindications

Key words: Uterine arteriovenous malformation, Uterine artery embolization, Curative effect

Lupeng Li, Guangshao Cao, Jianwen Liu, Yuyan Liu, Ruiqing Liu, Huicun Cao, Tianxiao Li. Clinical study of uterine artery embolization for 19 cases of uterine arteriovenous malformations[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2020, 08(03): 237-239.

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References 10

[1]	王莎莎，刘柳，张松英．子宫动静脉畸形的诊疗进展[J]．中华医学杂志，2018, 98(40): 3302-3304.
[2]	刘瑞青，刘建文，李陆鹏，等．剖宫产瘢痕妊娠经子宫动脉栓塞联合清宫治疗后再次妊娠情况分析[J]．实用妇产科杂志，2019, 35(07): 553-555.
[3]	刘瑞青，曹会存，曹广劭，等．子宫动脉栓塞联合刮宫术治疗瘢痕妊娠疗效及其远期影响[J]．中国介入影像与治疗学，2018, 15(10): 597-600.
[4]	李丹青，孟健，罗斌，等．难治性子宫动静脉瘘一例[J]．华西医学，2015, 30(3): 591-592.
[5]	Agwany ASE, Elshafei M. Extensive uterine arteriovenous malformation with hemodynamic instability: Embolization for whole myometrium affection[J]. Eur J Obstet Gynecol Reprod Biol, 2018, 222: 188-191.
[6]	李雯．子宫动静脉畸形三例并文献回顾[D]．浙江大学，2015.
[7]	Bandura P, Rawnaq T, Holzknecht A, et al.Management of intrauterine arteriovenous malformation(AVM) in 14 patients by sonographically guided tisseel application[J].Ultraschall Med, 2018, 39(1): 48-55.
[8]	于昕，朱兰，史宏晖，等．再次子宫动脉栓塞术治疗获得性子宫动静脉瘘反复阴道流血临床疗效研究（附7例报告）[J]．中国实用妇科与产科杂志，2016, 32(5): 450-452.
[9]	秦红．超选择性子宫动脉栓塞术治疗20例难治性产后出血的效果观察[J]．临床研究，2016, 24(3): 106-107.
[10]	曹广劭，刘玉岩，曹会存，等．盆腔动脉栓塞术治疗难治性产后大出血的临床分析[J]．中华介入放射学电子杂志，2015, 3 (3): 123-128.

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