子宮動靜脈血管瘤的臨床診療進展_West China Medical Journal

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子宮動靜脈瘤; 栓塞術; 子宮切除

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【摘要】子宮動靜脈血管瘤（arteriovenous mabformation，AVM）是一種少見的子宮血管病變，由異常的血管形成，分為先天性和獲得性，后者多與妊娠及子宮損傷有關，臨床上常表現為頑固的陰道流血，部分患者陰道大量流血。診斷比較困難，超聲是最基本的檢查方法，但血管造影是其診斷金標準。子宮AVM的治療主要包括保守治療、外科治療和介入治療。并綜述介入治療對妊娠的影響。

Citation： 姜薇,唐艷,喻俊林,徐克惠. 子宮動靜脈血管瘤的臨床診療進展. West China Medical Journal, 2010, 25(9): 1776-1778. doi: Copy

1.	Brown JV 3rd, Asrat T, Epstein HD, et al. Contemporary Diagnosis and Management of a Uterine Arteriovenous Malformation[J]. Obstet Gynecol, 2008, 112(2 Pt 2): 467-470.
2.	Hunter W. Further observation upon a particular species of aneurysm[J]. Mwd Observ Inquiries, 1762, 2: 390-414.
3.	Dubreuil G, Loubat E. Aneurysme cirsoide de l′uterus[J]. Ann Anat Pathol (Paris), 1926, 3: 697-718.
4.	Lowenstein L, Solt I, Deutsch M, et al. A Life-Threatening Event: Uterine Cervical Arteriovenous Malformation[J]. Obstet Gynecol, 2004, 103(2): 1073-1075.
5.	于長鹿, 趙新民, 李建文, 等. 子宮動脈栓塞治療子宮動靜脈瘺的療效評估[J]. 生物醫學工程與臨床, 2008, 12(5): 404-407.
6.	Mobamed MA, Macura KJ. Twenty- eight- year- old female with persistent vaginal bleeding post dilatation and curettage[J]. J Wom Imaging, 2004, 6(4): 178-183.
7.	Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evalution[J]. Ultrasound Q, 2005, 21(2): 69- 85.
8.	Wu Y, Liu W, Yuan C, et al. Successful treatment of symptomatic arteriovenous malformation of the uterus using laparoscopic bipolar coagulation of uterine vessels[J]. Fertil Steril 2001, 76: 1270-1271.
9.	Awadzi G, Frappell J, Pearson S, et al. Uterine arteriovenous alformations: a rare but serious cause of vaginal bleeding[J]. Gynecol Surg, 2005, 2(3): 67- 69.
10.	Ahn HY, Park IY, Lee G, et al. Uterine arteriovenous malformation [J]. Arch Gynecol Obstet, 2005, 271(2): 172- 175.
11.	Grivell RM, Reid KM, Mellor A. Uterine arteriovenous malformation: a view of the current literature[J]. Obstet Gynecol Surv, 2005, 60(11): 761- 767.
12.	Morikawa M, Yamada T, Yamada H, et al. Effect of gonadotropin releasing hormone agonist on a uterine arteriovenous malformation [J]. Obstet Gynecol, 2006, 108(2): 751- 753.
13.	Vedantham S, Goodwin SC, McLucas B, et al. Uterine artery embolization: an underused method of controlling pelvic hemorrhage[J]. Am J Obstet Gynecol, 1997, 176: 938-948.
14.	Ghai S, Rajan DK, Asch MR, et al. Efficacy of embolization in traumatic uterine vascular malformations[J]. Vasc Interv Radiol, 2003, 14(11): 1401- 1408.
15.	Maleux G, Timmerman D, Heye S, et al. Acquired uterine vascular malformations: radiological and clinical outcome after transcatheter embolotherapy[J]. Eur Radiol, 2006, 16(2): 299- 306.
16.	Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: diagnosis with US and treatment with transcatheter arterial embolization[J]. RadioGraphics, 2002, 22(1): 35-46.
17.	楊雋鈞, 向陽, 萬希潤, 等. 子宮動靜脈瘺致陰道大出血的臨床分析[J]. 中華婦產科雜志, 2004, 39(12): 797.
18.	Valenzano M, Faglio G, Tedeschi C, et al. Color Doppler sonography of uterine arteriovenous malformation[J]. J Clin Ultrasound, 2000, 28: 146-149.
19.	Takeuchi K, Yamada T, Iwasa M, et al. Successful medical treatment with danazol after failed embolization of uterine arteriovenous malformation[J]. Obstet Gynecol 2003, 102: 843-844.
20.	Poppe W, Van Assche FA, Wilms G, et al. Pregnancy after transcatheter embolization of a uterine arteriovenous malformation[J]. Am J Obstet Gynecol, 1987, 156: 1179-1180.
21.	Rebarber A, Fox NS, Eckstein DA, et al. Successful bilateral uterine artery embolization during an ongoing pregnancy[J]. Obstet Gynecol, 2009, 113: 554-556.
22.	Chow TWP, Nwose EC, Gould DA, et al. Pregnancy following successful embolization of a uterine vascular malformation[J]. Br J Obstet Gynaecol, 1995, 102: 166-168.
23.	Delotte J, Chevallier P, Benoit B, et al. Pregnancy after embolization therapy for uterine arteriovenous malformation[J]. Fertil Steril, 2006, 85(1): 228.

1. Brown JV 3rd, Asrat T, Epstein HD, et al. Contemporary Diagnosis and Management of a Uterine Arteriovenous Malformation[J]. Obstet Gynecol, 2008, 112(2 Pt 2): 467-470.
2. Hunter W. Further observation upon a particular species of aneurysm[J]. Mwd Observ Inquiries, 1762, 2: 390-414.
3. Dubreuil G, Loubat E. Aneurysme cirsoide de l′uterus[J]. Ann Anat Pathol (Paris), 1926, 3: 697-718.
4. Lowenstein L, Solt I, Deutsch M, et al. A Life-Threatening Event: Uterine Cervical Arteriovenous Malformation[J]. Obstet Gynecol, 2004, 103(2): 1073-1075.
5. 于長鹿, 趙新民, 李建文, 等. 子宮動脈栓塞治療子宮動靜脈瘺的療效評估[J]. 生物醫學工程與臨床, 2008, 12(5): 404-407.
6. Mobamed MA, Macura KJ. Twenty- eight- year- old female with persistent vaginal bleeding post dilatation and curettage[J]. J Wom Imaging, 2004, 6(4): 178-183.
7. Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evalution[J]. Ultrasound Q, 2005, 21(2): 69- 85.
8. Wu Y, Liu W, Yuan C, et al. Successful treatment of symptomatic arteriovenous malformation of the uterus using laparoscopic bipolar coagulation of uterine vessels[J]. Fertil Steril 2001, 76: 1270-1271.
9. Awadzi G, Frappell J, Pearson S, et al. Uterine arteriovenous alformations: a rare but serious cause of vaginal bleeding[J]. Gynecol Surg, 2005, 2(3): 67- 69.
10. Ahn HY, Park IY, Lee G, et al. Uterine arteriovenous malformation [J]. Arch Gynecol Obstet, 2005, 271(2): 172- 175.
11. Grivell RM, Reid KM, Mellor A. Uterine arteriovenous malformation: a view of the current literature[J]. Obstet Gynecol Surv, 2005, 60(11): 761- 767.
12. Morikawa M, Yamada T, Yamada H, et al. Effect of gonadotropin releasing hormone agonist on a uterine arteriovenous malformation [J]. Obstet Gynecol, 2006, 108(2): 751- 753.
13. Vedantham S, Goodwin SC, McLucas B, et al. Uterine artery embolization: an underused method of controlling pelvic hemorrhage[J]. Am J Obstet Gynecol, 1997, 176: 938-948.
14. Ghai S, Rajan DK, Asch MR, et al. Efficacy of embolization in traumatic uterine vascular malformations[J]. Vasc Interv Radiol, 2003, 14(11): 1401- 1408.
15. Maleux G, Timmerman D, Heye S, et al. Acquired uterine vascular malformations: radiological and clinical outcome after transcatheter embolotherapy[J]. Eur Radiol, 2006, 16(2): 299- 306.
16. Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: diagnosis with US and treatment with transcatheter arterial embolization[J]. RadioGraphics, 2002, 22(1): 35-46.
17. 楊雋鈞, 向陽, 萬希潤, 等. 子宮動靜脈瘺致陰道大出血的臨床分析[J]. 中華婦產科雜志, 2004, 39(12): 797.
18. Valenzano M, Faglio G, Tedeschi C, et al. Color Doppler sonography of uterine arteriovenous malformation[J]. J Clin Ultrasound, 2000, 28: 146-149.
19. Takeuchi K, Yamada T, Iwasa M, et al. Successful medical treatment with danazol after failed embolization of uterine arteriovenous malformation[J]. Obstet Gynecol 2003, 102: 843-844.
20. Poppe W, Van Assche FA, Wilms G, et al. Pregnancy after transcatheter embolization of a uterine arteriovenous malformation[J]. Am J Obstet Gynecol, 1987, 156: 1179-1180.
21. Rebarber A, Fox NS, Eckstein DA, et al. Successful bilateral uterine artery embolization during an ongoing pregnancy[J]. Obstet Gynecol, 2009, 113: 554-556.
22. Chow TWP, Nwose EC, Gould DA, et al. Pregnancy following successful embolization of a uterine vascular malformation[J]. Br J Obstet Gynaecol, 1995, 102: 166-168.
23. Delotte J, Chevallier P, Benoit B, et al. Pregnancy after embolization therapy for uterine arteriovenous malformation[J]. Fertil Steril, 2006, 85(1): 228.

West China Medical Journal

子宮動靜脈血管瘤的臨床診療進展

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