Clinical study of 48 cases of uterine myoma treated with painless uterine artery embolization

doi:10.3877/cma.j.issn.2095-5782.2016.01.007

Abstract

Abstract:

Objective

To investigate the clinical effects of painless uterine artery embolization on uterine leimyoma.

Methods

From January 2013 to June 2014,interventional therapy was performed on 48 patients withuterine leimyoma,puncture right femoral arteryand under the guidance of DSA. The 4F or 5F Cobra catheter was placed into iliac artery then into uterial arteries with 710 - 1000 μm PVA as embolization agent.

Results

The operation was completed successfully in all patients, with the technical success rate 100% (48/48). Normal menstruation was observed in 46 cases 6 months after the procedures.Anemia disappeared in 26 out of 28 cases during the 6 months follow up. The volume of leiomyoma shrinkage obviously in 33 cases while disappeared in 2 cases.

Conclusions

Painless uterine artery embolization is effective in the treatment of uterine leiomyoma, with no serious complications.

Key words: Uterine artery embolization, Interventional therapy, Uterine fibroids

Yongxu Mu, Hongying Qu, Haiyan Liu, Lei Zhang, Chang Jin, Ruiqiang Yan. Clinical study of 48 cases of uterine myoma treated with painless uterine artery embolization[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(01): 24-26.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2016.01.007

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2016/V04/I01/24

Figures/Tables 2

References 8

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时间	月经异常	血红蛋白浓度（g/L）		下腹胀痛	压迫症状
时间	月经异常	65～90	>90～120	下腹胀痛	压迫症状
术前	43	5	23	35	22
术后1个月	30	3	18	31	16
术后3个月	11	1	5	12	10
术后6个月	2	0	2	3	4

时间	月经异常	血红蛋白浓度（g/L）		下腹胀痛	压迫症状
时间	月经异常	65～90	>90～120	下腹胀痛	压迫症状
术前	43	5	23	35	22
术后1个月	30	3	18	31	16
术后3个月	11	1	5	12	10
术后6个月	2	0	2	3	4

时间	子宫肌瘤栓塞后肌瘤体积缩小量			肌瘤消失
时间	<20%	20%～50%	>50%	肌瘤消失
术后1个月	8	33	13	0
术后3个月	3	21	20	1
术后6个月	3	10	33	2

时间	子宫肌瘤栓塞后肌瘤体积缩小量			肌瘤消失
时间	<20%	20%～50%	>50%	肌瘤消失
术后1个月	8	33	13	0
术后3个月	3	21	20	1
术后6个月	3	10	33	2

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