4例妊娠相关子宫动静脉瘘的诊治体会

杨培丽, 李奎

武警医学 ›› 2026, Vol. 37 ›› Issue (5) : 434-438.

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武警医学 ›› 2026, Vol. 37 ›› Issue (5) : 434-438. DOI: 10.3969/j.issn.1004-3594.2026.05.013
临床经验总结

4例妊娠相关子宫动静脉瘘的诊治体会

  • 杨培丽1, 李奎2
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摘要

子宫动静脉瘘(uterine arteriovenous fistula,UAVF)是指子宫动脉与静脉之间出现异常连接的血管病变,属于妇产科罕见疾病。妊娠相关性UAVF常可继发于胎盘绒毛植入、妊娠滋养细胞疾病、剖宫产、自然分娩、人工流产等。其引起的出血症状容易与产后子宫复旧不良、流产后妊娠组织残留引起的出血相混淆,易误诊误治。本文对4例妊娠相关UAVF的诊断和治疗过程进行报告,旨在对临床诊治提供借鉴。

关键词

子宫动静脉瘘 / 妊娠 / “开关式”阴道出血 / 彩色多普勒超声 / 子宫动脉栓塞

引用本文

导出引用
杨培丽, 李奎. 4例妊娠相关子宫动静脉瘘的诊治体会[J]. 武警医学. 2026, 37(5): 434-438 https://doi.org/10.3969/j.issn.1004-3594.2026.05.013
中图分类号: R714.25   

参考文献

[1] Hoang V T, HAT, Trinh C T, et al. Uterine arteriovenous malformation: a pictorial review of diagnosis and management[J]. Endovasc Ther,2021,28(5): 659-675.
[2] Vijayakumar A, Srinivas A, Chandrashekar B M, et al. Uterine vascular lesions[J]. Rev Obstet Gynecol, 2013, 6 (2) 69-79.
[3] Terzi S, Gasbarrini A, Fuiano M, et al. Efficacy and safety of selective arterial embolization in the treatment of aneurysmal bone cyst of the mobile spine: a retrospective observational study[J]. Spine(Phila Pa 1976),2017,42(15):1130-1138.
[4] Karadag B, Erol O, Ozdemir O, et al. Successful treatment of uterine arteriovenous malformation due to uterine trauma[J]. Case Rep Obstet Gynecol,2016,2016:1890650.
[5] Yoon D J, Jones M, Taani J A, et al. A Systematic review of acquired uterine arteriovenous malformations: pathophysiology, diagnosis, and transcatheter treatment[J]. AJP Rep, 2016,6(1): e6-e14.
[6] 唐世倩,王 玉,刘菊红,等. 与妊娠相关子宫动静脉瘘治疗方法的研究[J]. 中国医刊, 2019, 54(11): 1226-1229.
[7] Timmerman D, Wauters J, Van Calenbergh S, et al. Color doppler imaging is a valuable tool for the diagnosis and management of uterine vascular malformations[J]. Ultrasound Obstet Gynecol, 2003, 21(6): 570-577.
[8] 王焕英,魏 炜,徐晓辉,等.子宫动静脉瘘的临床特点与诊治分析[J]. 中国医药,2022,17(6):890-893.
[9] Zhang W, Cui S, Mao Z, et al. Effect of direct surgical treatment in pregnancy-related uterine arteriovenous malformation[J]. BMC Pregnancy Childbirth,2023, 23(1):673.
[10] 贾柠伊, 刘 佳, 李 坚.子宫动静脉瘘诊断及治疗现状进展[J].中国妇产科临床杂志,2019,20(6):571-573.
[11] Peitsidis P, Manolakos E, Tsekoura V, et al. Uterine arteriovenous malformations induced after diagnostic curettage: a systematic review[J]. Arch Gynecol Obstet,2011,284(5):1137-1151.
[12] 杨锦莹,曾 飞,吴宁珊,等.妊娠相关获得性子宫动静脉瘘的诊治及预后14例分析[J].实用妇产科杂志,2024,40(3):237-240.
[13] Van den Bosch T, Van Schoubroeck D, Lu C, et al. Color Doppler and gray-scale ultrasound evaluation of the postpartum uterus[J]. Ultrasound Obstet Gynecol, 2002,20(6):586-591.
[14] Timor I E, Haynes M C, Monteagudo A, et al. Ultrasound diagnosis and management of acquired uterine enhanced myometrial vascularity/arteriovenous malformations[J]. Am J Obstet Gynecol, 2016,214(6):731.
[15] Kemal Harzif A, Rei O G, Haloho A, et al. Trans-arterial embolization of acquired uterine arteriovenous malformation after Cesarean section: a case series[J]. Int J Reprod Biomed,2019, 19,17(2):135-142.
[16] 金 颖,张 乐,武靖玲,等.晚期产后出血伴子宫动静脉瘘11例临床分析[J].中国实用妇科与产科杂志,2024,40(2):204-208.
[17] Rosen A, Chan W V, Matelski J, et al. Medical treatment of uterine arteriovenous malformation: a systematic review and meta-analysis[J]. Fertil Steril, 2021, 116(4):1107-1116.
[18] Giurazza F, Corvino F, Silvestre M, et al. Uterine Arteriovenous Malformations[J]. Semin Ultrasound CT MR,2021, 42(1):37-45.
[19] 刘 倩, 彭 萍. 药物流产相关子宫动静脉畸形1例[J]. 中华妇产科杂志, 2025, 60(1): 56-58.
[20] 张 巧,张师前,周 丹,等.早期妊娠相关子宫动静脉瘘诊治的中国专家共识(2022年版)[J].中国实用妇科与产科杂志,2022,38(3):284-289.

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