子宫动静脉畸形介入栓塞治疗19例临床研究

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

目的探讨子宫动静脉畸形采用子宫动脉介入栓塞治疗的临床效果。方法选取2014年4月至2019年12月在我院就诊并接受治疗的19例子宫动静脉畸形患者作为研究对象,均给予子宫动脉栓塞术(UAE)治疗,评价治疗效果和患者预后。结果19例患者中有15例患者均一次性UAE治疗止血成功,术后患者主诉右下腹轻度疼痛不适,术后2~5 d症状消失,剩余4例治疗后阴道仍有出血,其中2例患者转手术治疗,另2例给予保守治疗后好转。19例患者术后均未发生严重并发症。结论子宫动静脉畸形虽然在临床较为少见,但很容易引起严重后果,UAE治疗子宫动静脉畸形是一种微创、高效且可重复的治疗方式,对无手术禁忌症者可作为首选的治疗方式。

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.