Diagnosis, management and treatment of acquired uterine arteriovenous malformation: A case series and literature review.

IF 2.6 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Lei Yu, Xue Xiao
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引用次数: 0

Abstract

The rising prevalence of cesarean sections, abortions, and other surgical interventions involving the uterus has led to an increased incidence of acquired uterine arteriovenous malformations (AVMs). These malformations primarily present as vaginal bleeding, which can significantly impair the quality of life for affected individuals and can pose life-threatening risks in severe instances. Currently, there exists considerable variability in the clinical manifestations, treatment indications, and outcomes associated with uterine AVMs, which substantially complicates clinical diagnosis and management. In this report, we present five cases of uterine AVM that developed following abortion and were treated at our institution. The patients underwent various treatment modalities, with all but one achieving a high rate of fertility preservation. We underscore the importance of tailoring AVM treatment to factors such as patient age, volume of vaginal bleeding, urgency of the situation, size of the lesion, and fertility aspirations.

获得性子宫动静脉畸形的诊断、管理和治疗:病例系列和文献综述。
剖腹产、人工流产和其他涉及子宫的手术干预的发病率不断上升,导致后天性子宫动静脉畸形(AVM)的发病率增加。这些畸形主要表现为阴道出血,会严重影响患者的生活质量,严重时还会危及生命。目前,子宫动静脉畸形在临床表现、治疗指征和预后方面存在相当大的差异,这大大增加了临床诊断和管理的复杂性。在本报告中,我们介绍了五例在人工流产后出现的子宫动静脉畸形,并在我院接受了治疗。这些患者接受了不同的治疗方式,除一例外,其他患者均获得了较高的生育能力保留率。我们强调了根据患者年龄、阴道出血量、情况紧急程度、病灶大小和生育愿望等因素调整 AVM 治疗方法的重要性。
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来源期刊
CiteScore
5.80
自引率
2.60%
发文量
493
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.
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