Clinical Analysis of 30 Cases of Uterine Arteriovenous Fistula Diagnosis Ultra-sonography
10.3969/j.issn.1003-6946.2025.11.019
- VernacularTitle:超声诊断子宫动静脉瘘30例临床分析
- Author:
Xin ZHAO
1
;
Juanfang LIU
;
Ying TANG
;
Zheying LIU
;
Liping HAN
Author Information
1. 郑州大学第一附属医院妇科,河南 郑州 450052
- Publication Type:Journal Article
- Keywords:
Uterine arteriovenous fistula;
Color Doppler ultrasound;
Uterine artery embolization;
Treatment;
Prognosis
- From:
Journal of Practical Obstetrics and Gynecology
2025;41(11):961-965
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Analyze the clinical manifestations,diagnosis,treatment,and prognosis of uterine arterio-venous fistula(UAVF).Methods:A retrospective analysis was conducted on the clinical data of 30 patients diag-nosed with UAVF by ultrasonography at The First Affiliated Hospital of Zhengzhou University from January 1,2019,to December 31,2022.Results:Among the 30 patients,the median age was 33 years.All patients had a his-tory of uterine surgery,and 3 cases(10.0%)were complicated by gestational trophoblastic disease.Vaginal bleeding was the presenting symptom in 26 cases(86.7%).All patients were diagnosed using color Doppler ul-trasonography.Additionally,22 patients(73.3%)underwent digital subtraction angiography(DSA)for definitive diagnosis.The treatments administered were as follows:8 patients underwent uterine artery embolization(UAE)to hysteroscopic lesion resection,10 patients received UAE only,4 patients underwent hysteroscopic lesion resec-tion only,4 patients required UAE due to massive bleeding during hysteroscopic lesion resection,1 patient under-went direct hysterectomy,3 patients received conservative management.Among the 22 patients who underwent UAE,19 cases(86.4%)experienced no recurrence of vaginal bleeding.Among the 26 patients who underwent fertility-preserving treatment,18(69.2%)regained normal menstruation.Of the 10 patients within this group who desired pregnancy,4 subsequently had successful deliveries.Conclusions:UAVF primarily manifests as irregular vaginal bleeding.Color Doppler ultrasonography can serve as the initial diagnostic tool,while DSA provides a de-finitive diagnosis.UAE and hysteroscopic lesion resection can be considered preferred treatment options for pa-tients desiring fertility preservation.
