METHODS: After reporting a case about this rare pathology, a review of the literature was performed. The search was applied to PubMed databases.
RESULTS: A total of eighteen articles met the inclusion criteria. Eighteen patients were reported. Eight (44.4 %) patients didn\'t have prior medical or surgical history. Fifteen (83.3 %) beneficed interventional radiology method during pregnancy including two cases (13.3 %) with repeated embolization because of recanalization of the (pseudo)aneurysm. Nine patients (50 %) beneficed a planned cesarean between 34 and 39 weeks of gestation. One (15.8 %) patient was diagnosed with fetal death before treatment of the uterine artery (pseudo)aneurysm.
CONCLUSIONS: The decision to proceed to the treatment of the (pseudo)aneurysm must consider several factors, associated or not with a good fetal vitality and a hemodynamically stable patient. Embolization appears to be the method of choice. Mode of delivery and term remain not clear and contraindication of expulsive efforts in case of a uterine artery (pseudo)aneurysm merit further investigations.
方法:报告一例罕见病理后,对文献进行了综述.搜索应用于PubMed数据库。
结果:共有18篇文章符合纳入标准。报告18例患者。8例(44.4%)患者没有既往病史或手术史。怀孕期间有15例(83.3%)受益于介入放射学方法,其中2例(13.3%)由于(假)动脉瘤的再通而反复栓塞。9名患者(50%)在妊娠34至39周之间计划进行剖宫产。一名(15.8%)患者在治疗子宫动脉(假性)动脉瘤之前被诊断为胎儿死亡。
结论:继续治疗(假性)动脉瘤的决定必须考虑几个因素,与良好的胎儿活力和血流动力学稳定的患者有关或无关。栓塞似乎是选择的方法。分娩方式和足月仍不清楚,在子宫动脉(假性)动脉瘤的情况下,排除努力的禁忌症值得进一步研究。