摘要
目的:评价经导管动脉栓塞(TAE)治疗获得性子宫动静脉畸形的有效性。方法:回顾性分析接受TAE治疗的7例确诊为获得性子宫动静脉畸形患者的临床资料。患者年龄21~45岁,术前均完善血常规、系列β人绒毛膜促性腺激素等检查,彩色多普勒超声、CTA或MRI等影像检查。TAE栓塞材料有明胶海绵颗粒、聚乙烯醇颗粒(PVA)。结果:7例共接受9次TAE,全部成功。所有患者首次TAE治疗后3~10周月经恢复正常。3例治疗后成功妊娠,其中2例成功足月顺产;1例妊娠24周后流产,再行2次栓塞后痊愈。2例术后出现栓塞后综合征,表现为发热、恶心、腹痛等,经对症治疗3~7 d后消失。均无严重并发症发生。结论:TAE治疗获得性子宫动静脉畸形安全有效,可保留生育功能。
Aim:To evaluate the efficacy of transcatheter arterial embolization(TAE)in the treatment of acquired uterine arteriovenous malformation(UAVM).Methods:The clinical data of 7 patients with acquired UAVM underwent TAE were retrospectively analyzed.The age of all the patients ranged from 21 to 45 years.Preoperative blood routine,serial beta-human chorionic gonadotropin(β-HCG),color Doppler ultrasonography,CTA or MRI were performed.The TAE embolic materials included gelatin sponge,PVA.Results:Nine embolization procedures were performed in 7 patients,and the technical success rate was 100%.All the patients recovered normal menstruation in 3-10 weeks after the first embolization.Three patients succeeded in pregnancy after TAE,2 succeeded in full-term delivery,and 1 had abortion after 24 weeks of pregnancy.Two patients presented with post-embolization syndrome including fever,nausea and abdominal pain,and the symptoms disappeared after symptomatic treatment for 3-7 days.No serious complications occurred in all patients.Conclusion:TAE for acquired UAVM is safe and effective,and can preserve fertility.
作者
李臻
詹鹏超
李鑫
纪坤
白亮亮
石洋
叶书文
谢炳灿
韩新巍
LI Zhen;ZHAN Pengchao;LI Xin;JI Kun;BAI Liangliang;SHI Yang;YE Shuwen;XIE Bingcan;HAN Xinwei(Department of Interventional Radiology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)
出处
《郑州大学学报（医学版）》
CAS
北大核心
2020年第4期508-512,共5页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省高等学校重点科研攻关项目(17A320011)。
关键词
子宫动静脉畸形
子宫动脉栓塞
uterine arteriovenous malformation
uterus embolotherapy
