Drospirenone and ethinyl estradiol tablets in the management of early pregnancy-related uterine arteriovenous fistula: a 4-case series with efficacy evaluation
10.3760/cma.j.cn101441-20250402-00166
- VernacularTitle:屈螺酮炔雌醇片治疗早期妊娠相关子宫动静脉瘘4例病例报道与疗效分析
- Author:
Xuhui ZHU
1
;
Chongyi ZHANG
;
Weilu CHEN
;
Pu ZHOU
;
Wenying FU
;
Yanhua YU
;
Chongjie JIN
;
Xiaohu GUO
;
Zhiqin CHEN
Author Information
1. 诸暨市妇幼保健院妇科，诸暨311800
- Publication Type:Journal Article
- Keywords:
Uterine arteriovenous fistula;
Abnormal uterine bleeding;
Drug therapy;
Ultrasonography;
Hysteroscopic operation
- From:
Chinese Journal of Reproduction and Contraception
2025;45(9):940-944
- CountryChina
- Language:Chinese
-
Abstract:
Uterine arteriovenous fistula (UAVF), a relatively rare vascular anomaly, may lead to life-threatening hemorrhage and poses diagnostic and management challenges for primary hospitals during initial encounters. This article reports four cases of UAVF treated with Drospirenone and ethinyl estradiol tablets at Department of Gynaecology, Zhuji Maternal and Child Health Hospital between 2023 and 2024. Combined with literature review, we systematically analyzed the etiological mechanisms, clinical characteristics, and diagnostic-therapeutic strategies of this condition, with particular focus on evaluating the efficacy and safety of conservative pharmacological management. By summarizing case features and individualized treatment protocols, this study aims to provide clinical references for early identification, accurate diagnosis, and rational intervention of UAVF, thereby reducing risks of massive hemorrhage and long-term complications while improving patient prognosis.
