Curative effect of transcatheter uterine artery embolization in the treatment of fibromyoma(a report of 21 cases)
- VernacularTitle:子宫肌瘤介入治疗临床疗效观察(附21例报告)
- Author:
Junhui CHEN
;
Dawu HU
;
Tianhong DUAN
- Publication Type:Journal Article
- Keywords:
Uterine neoplasm;
Radiology, interventional;
Embolization, therapeutic;
Ethanol
- From:
Chinese Journal of Radiology
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of transcatheter ethanol embolization of bilateral uterine artery as a treatment for fibromyoma. Methods Twenty one women with uterine fibromyoma underwent femoral artery puncture and transcatheter uterine artery embolization. Free flow bilateral artery embolization with ethanol were performed on 16 cases, three women undergoing unilateral embolization, and gelatin sponge were used in 2 cases. Results All cases were observed with a follow up of 3 to 64 months (mean 25 months) after the treatment. Nineteen women infused with ethanol were reported noticeable symptomatic improvement, including fifteen women with complete resolution of symptoms. Two women embolized with sponge exhibited clinical response at 2 and 5 months after the procedure, respectively. The marked diminution of tumor size (40%-90%) was sonographically demonstrated. No severe complications were discovered in all 21 cases. Conclusion Uterine artery embolization represented a promising new method of treating fibroids. It had safe and good clinical results. Further investigation would be required to assess its long term effect.
