Comparison on effect of microwave ablation and uterine artery embolization for treatment of single intramural uterine leiomyoma
10.13929/j.issn.1672-8475.2020.10.005
- VernacularTitle: 对比微波消融, 子宫动脉栓塞治疗单发子宫肌壁间肌瘤效果
- Author:
Jundong LIN
1
Author Information
1. Department of Intervention, Zhangzhou Traditional Chinese Medical Hospital
- Publication Type:Journal Article
- Keywords:
Embolization, therapeutic;
Leiomyoma;
Microwave ablation;
Uterine artery;
Uterine neoplasms
- From:
Chinese Journal of Interventional Imaging and Therapy
2020;17(10):595-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the effect of microwave ablation (MWA) and uterine artery embolization (UAE) for treatment of single intramural uterine leiomyoma. Methods: Data of 49 patients with single intramural uterine leiomyoma were retrospectively analyzed, including 27 cases received MWA (MWA group) and underwent UAE (UAE group). The therapeutic effect and prognosis were compared between 2 groups. Results: After treatment, menorrhagia, dysmenorrhea, anemia and other symptoms relieved and gradually disappeared in both groups. Complications, such as fever, abdominal pain and vaginal discharge were found but cured after symptomatic treatment or without treatment. The volume and maximum diameter of uterine leiomyoma in MWA group were less than those in UAE group 3 and 6 months after therapy (all P<0.05). The levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) in MWA group were lower than those in UAE group, but the level of estradiol (E2) in MWA group was higher than UAE group 6 and 12 months after therapy (all P<0.05). During 12 months' following-up, the recurrence rate of uterine leiomyoma was 25.93% (7/27) in MWA group and 27.27% (6/22) in UAE group (P>0.05). Conclusion: Both MWA and UAE are effective and safe for treatment of single intramural uterine leiomyoma, and the former has better effect.
