胃下动脉绑定是否可以作为动脉栓塞的替代方法来控制阴道出血? 一个案例报告
Seyedeh Azam Pourhoseini1, Malihe Mahmoudinia1, Mona Jafari1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
International journal of fertility & sterility
|October 15, 2025
概括
子宫动脉静脉形 (AVM) 可能导致严重的阴道出血. 双边下胃动脉绑定有效地管理了一个AVM病例,在不成功的子宫动脉栓塞后持续出血.
科学领域:
- 妇科 妇科医生 妇科
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 子宫动脉静脉形 (AVM) 是一种罕见但严重的疾病,导致严重的阴道出血.
- 诊断包括像多普勒超声波,MRI,CT或血管造影等成像.
- 治疗选择取决于患者的因素和形特征.
研究的目的:
- 讨论子宫动脉栓塞 (UAE) 失败后子宫AVM持续性阴道出血的管理.
- 介绍一个32岁的女性患有子宫AVM和阿联后耐火出血的案例研究.
主要方法:
- 通过多普勒超声波检查证实了诊断.
- 最初的治疗:双边子宫动脉栓塞 (UAE).
- 耐火性出血的二次治疗:双边的胃下动脉绑定.
主要成果:
- 在本案中,阿联双边没有解决严重的阴道出血问题.
- 双边下胃动脉绑定为持续的出血提供了有效的管理.
结论:
- 虽然阿联是希望生育的女性中AVM的首选治疗方法,但它可能并不总是成功的.
- 双边下胃动脉绑定是一种可行的替代方案,用于管理因子宫AVM而导致的抵抗性阴道出血,当UAE失败时.
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