PDF(Pubmed)
Abstract：
Uterine arteriovenous malformations (UAVMs) are rare and abnormal entanglements of uterine arteries and veins that are potentially fatal, requiring blood transfusions in about a third of cases. Although the optimal management of the condition is not well established in the literature, surgical hysterectomy is believed to be the only definitive treatment for arteriovenous malformations. We present three cases of UAVMs treated by a minimally invasive endovascular approach. Chief complaints were heavy menstrual bleeding and sudden onset heavy bleeding. The diagnosis was confirmed by computed tomography imaging and angiography of the pelvic vessels. Uterine artery embolization (UAE) was performed in all patients. The follow-up period was uneventful. In our experience, the UAE provides satisfactory results in terms of success rates, complications, and short hospital stays.
摘要：
子宫动静脉畸形（UAVM）是子宫动脉和静脉的罕见和异常缠结，可能致命，大约三分之一的病例需要输血。虽然条件的优化管理在文献中还没有得到很好的确立，手术子宫切除术被认为是唯一明确的治疗动静脉畸形的方法。我们介绍了三例通过微创血管内方法治疗的UAV。主要主诉是月经大出血和突发性大出血。诊断通过骨盆血管的计算机断层扫描成像和血管造影得到证实。所有患者均行子宫动脉栓塞术(UAE)。后续阶段是平稳的。根据我们的经验,阿联酋在成功率方面提供了令人满意的结果，并发症,住院时间短。
