Abstract:

Uterine arteriovenous fistula (UVAF) is a kind of rare abnormal uterine vascular disease, which is one of the causes of late postpartum hemorrhage in women. In recent years, with the opening of the two-child policy and the increase of the rate of artificial abortion, the incidence rate of UAVF has also increased, which seriously affects the quality of life of women and increases the difficulty and risk of the second pregnancy. Due to the diversity of etiology and clinical manifestations of UAVF, it is often difficult to identify early and make appropriate treatment in clinical work, which leads to the occurrence of adverse events. At present, the diagnosis of UAVF mainly depends on imaging methods, among which angiography is the gold standard. Conservative treatment, interventional therapy and surgical treatment are the main treatment methods of UVAF, among which uterine artery embolization is the most commonly used, but the adverse effects of re-pregnancy are increasing year by year. According to the patient′s clinical symptoms and fertility wishes, choosing a reasonable diagnosis and treatment program can improve the prognosis and reduce the risk of re-pregnancy.

Key words: Uterus, Arteriovenous fistula, Postpartum hemorrhage, Diagnosis, Therapy