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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Prompt Diagnosis and Treatment of Uterine Arcuate Artery Pseudoaneurysm: A Case Report and Review of Literature
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Prompt Diagnosis and Treatment of Uterine Arcuate Artery Pseudoaneurysm: A Case Report and Review of Literature

机译：子宫弓状动脉假性动脉瘤的及时诊断和治疗：一例报告并文献复习

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Post?partum haemorrhage is a major determinant of maternal mortality. Traditionally, cases of post?partum haemorrhage caused by arterial injuries were managed by caesarean hysterectomies or bilateral internal iliac artery ligations. The diagnosis of aneurysms or arteriovenous malformations of uterine artery are often missed. Uterine curettage, caesarean section or vaginal delivery can result in uterine vascular anomalies like pseudo aneurysms, arteriovenous malformations, arteriovenous fistula and rupture of uterine vessels. Colour Doppler ultrasound pelvis allows detection of these vascular abnormalities. It helps in differentiating the vascular abnormalities that require embolization from non?vascular abnormalities which can be managed by uterine curretage. Vessel malformations can be treated safely with transcatheter uterine artery embolization, but they can develop disastrous consequences with inadvertent uterine curettage. Transcatheter uterine artery embolization after pelvic angiography is the treatment of choice for uterine artery malformations and it has the advantage of preserving the reproductive capacity. We recommend a routine use of colour Doppler ultrasound pelvis for evaluation of abnormal uterine bleeding.
机译：产后出血是产妇死亡率的主要决定因素。传统上，由动脉损伤引起的产后出血病例是通过剖腹产子宫切除术或双侧internal内动脉结扎术来处理的。通常错过了对子宫动脉的动脉瘤或动静脉畸形的诊断。刮宫，剖腹产或阴道分娩会导致子宫血管异常，如假性动脉瘤，动静脉畸形，动静脉瘘和子宫血管破裂。彩色多普勒超声骨盆可以检测这些血管异常。它有助于区分需要栓塞的血管异常与可通过子宫刮除术治疗的非血管异常。经导管子宫动脉栓塞术可以安全治疗血管畸形，但由于无意间刮宫，它们可能会造成灾难性后果。盆腔造影后经导管子宫动脉栓塞术是治疗子宫动脉畸形的一种选择，它具有保留生殖能力的优点。我们建议常规使用彩色多普勒超声骨盆评估异常子宫出血。

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