子宫动静脉瘘的诊治探讨及临床分析  

Diagnosis and Treatment of Uterine Arteriovenous Fistula

作　　者：洪碧霞 HONG Bixia(Yongchun County Hospital,Quanzhou 362600,China)

机构地区：[1]福建省泉州市永春县医院,福建泉州362600

出　　处：《中国医药指南》2023年第29期65-67,71,共4页Guide of China Medicine

摘　　要：目的 旨在探讨分析子宫动静脉瘘的病因、临床特点、诊断、治疗及预后。方法 回顾性分析2016年3月至2023年2月永春县医院收治的11例子宫动静脉瘘患者的临床资料,对子宫动静脉瘘的临床诊疗进行分析、总结。结果 子宫动静脉瘘患者多表现为不规则阴道流血,常合并宫腔操作史。11例患者彩色多普勒超声检查均提示子宫动静脉瘘,2例行数字减影血管造影确诊。2例随访观察,3例对症保守治疗,2例行子宫动脉栓塞术,4例行腔镜手术治疗。结论 子宫操作史是获得性子宫动静脉瘘的高危因素;彩色多普勒超声可以作为诊断及随访的首选,数字减影血管造影为诊断子宫动静脉瘘的金标准;综合考虑患者年龄、症状、生育需求、个人意愿等情况,选择个体化治疗方法。Objective To explore and analyze the etiology,clinical characteristics,diagnosis,treatment and prognosis of uterine arteriovenous fistula(UAVF).Methods The clinical data of 11 patients with UAVF admitted to Yongchun County Hospital from March 2016 to February 2023were retrospectively analyzed,and the diagnosis and treatment of UAVF were summarized.Results Patients with UAVF mostly presented with irregular vaginal bleeding,often combined with a history of uterine manipulation.Color Doppler ultrasonography in 11 patients suggested uterine arteriovenous fistula,and the diagnosis was confirmed by digital subtraction angiography(DSA) in 2 cases.2 cases were followed up,3 cases were given conservative treatment,uterine artery embolization was performed in 2 cases,and laparoscopic surgical treatment was performed in 4 cases.Conclusions A history of uterine operation is a high-risk factor for acquired UAVF;color Doppler ultrasound can be the first choice for diagnosis and follow-up,and DSA is the gold standard for UAVF diagnosis;individualized treatments are chosen by considering the patient's age,symptoms,reproductive needs,and personal wishes.

关 键 词：子宫动静脉瘘 阴道不规则流血 血管造影 子宫动脉栓塞 

分 类 号：R711.3[医药卫生—妇产科学]