子宫动静脉畸形1例报告并文献复习

Uterine arteriovenous malformations:one case report and review of literature

目的探讨子宫动静脉畸形(uterine arteriovenousm alformations,UAVMs)的诊治特点。方法分析1例UAVMs患者的诊治过程,同时复习相关文献。结果UAVMs的成因有先天性和后天性两种。先天性动静脉畸形常由于胚胎期正常的血管停止发育所致;后天性动静脉畸形主要与创伤、感染、肿瘤等有关;动静脉畸形由增殖的动脉和静脉管壁相连形成瘘,有时混有类似毛细血管的管壁,并可连通至邻近的器官;主要症状是大量阴道出血;可采用保守治疗、选择性子宫动脉栓塞术及手术方法。结论UAVMs是一种少见的妇科疾患,分为先天性和后天性两种,主要症状是大量阴道出血,诊断主要依赖病理和影像学检查,需要与滋养细胞疾病及血管肿瘤等鉴别。

Objective To explore the diagnostic and therapeutic of uterine arteriovenous malformations, Methods Analysed the diagnosis and treatment of a patient with uterine arteriovenous malformations and reviewed literatures. Results The causes of Uterine arteriovenous malformations were congenital and acquired. Congenital arteriovenous malformations caused by vascular stop in embryonic stage. Acquired arteriovenous malformations due to trauma infection,tumors and other relevant. Arteriovenous malformations formed with the proliferation of arterial and venous fistula formation linked to the wall,sometimes mixed with a similar wall of the capillary and connectivity to the neighboring organs. The main symptom was massive vaginal bleeding. Conservative treatment,uterine selective artery embolization and surgical methods were used for treatment of uterine arteriovenous malformations. Conclusions Uterine arteriovenous malformations is a rare gynecological disorders due to congenital and acquired .The main symptom is vaginal bleeding severely. The diagnosis is mainly based on pathology and imaging inspection. The differential diagnosis should be undertaken from trophoblastic disease and vascular tumor of uterine so on.