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盆腔动脉静脉形形 (AVM) 复发性出血症:一个病例报告
Iraj Nazari1, Mohammad Amin Zargar1, Pegah Panahi2
1Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
International journal of surgery case reports
|August 26, 2023
概括
本案例研究详细介绍了一名患有无痛血的女性的动脉静脉形形 (AVM) 复发情况. 多次血管栓塞治疗成功治疗了这种情况,术后症状得到缓解.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 动脉静脉形 (AVMs) 涉及动脉和静脉之间的异常直接连接,绕过毛细血管.
- 盆腔AVM是一种罕见的良性疾病,可引起疼痛,出血和出血等显著症状.
研究的目的:
- 报告一个罕见的复发性骨盆AVM的病例在一个女性患者.
- 用多次血管栓塞疗程描述盆腔AVM的治疗方法.
主要方法:
- 一名36岁的女性有血病史,接受了CT扫描,揭示了骨盆AVM.
- 该患者接受了一系列针对不同受影响的动脉和静脉的血管栓塞手术.
- 使用的材料包括线圈,凝泡,,利皮醇,泡硬化疗法和聚乙烯醇 (PVA).
主要成果:
- 最初的腹腔切除术随后进行了多次血管栓塞治疗,以治疗左侧和右侧内动脉中的复发性动脉动脉瘤以及左侧阴道静脉形.
- 在第二次栓塞后,左侧内动脉的完全阻塞得到了实现.
- 经过两个月的随访,该患者没有出现症状的复发.
结论:
- 血管栓塞是管理AVM的主要治疗选择.
- 栓塞材料的选择至关重要,并且取决于AVM的特定特征,包括位置,大小和状况.
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