A comparative study on the fertility of uterine artery embolization and myomectomy for leiomyoma
- VernacularTitle:Умайн лейомиомын үед умайн артерийн судсыг бөглөх болон миомэктоми хийсний дараах жирэмслэлт, төрөлтийн байдал
- Author:
Uranchimeg R
1
;
Ganbaatar R
2
;
Bayarmaa L
1
;
Enkhtsetseg J
3
;
Lkhagvasuren J
3
Author Information
1. Urguu Maternity Hospital
2. Third State Central Hospital
3. National University of Health Sciences
- Publication Type:Journal Article
- Keywords:
uterine leiomyoma;
uterine artery embolization (UAE);
myomectomy;
polyvinyl alcohol particles;
pregnancy
- From:Mongolian Medical Sciences
2017;181(3):20-24
- CountryMongolia
- Language:Mongolian
-
Abstract:
Objective:To compare the nature of pregnancy and deliveryin women with leiomyoma who were treated with uterine
artery embolization to the outcomes in women who were treated with abdominal myomectomy.
Material and Methods:A prospective, clinical study was conducted in 2010-2013 at “Urguu” Maternity Hospital, Ulaanbaatar. 94
women meeting the criteria were selected for the study. Post-treatment, the patients were reviewed for a
period of two years. Uterine artery embolization was performed using polyvinyl alcohol particles (300-500
µm in diameter).
Results:The percentage of conception in UAE group was 25.5% and 31.9% in myomectomy group (p=0.494);
complication of pregnancy was 50.0% and 57.1% respectively (p=0.729); complication of delivery was
33.3% and 0.0% respectively (p=0.047). 88.9% and 90.0% (p=0.596) had Caesarean delivery. 16 (84.2%)
women had uncomplicated and 3 (15.8%) women had complicated delivery due to placenta praevia,
placenta acreta and uterine hypotonia. These cases all belonged to UAE group.
Conclusion:Pregnancy rates in women with leiomyoma who were treated by uterine artery embolization,
compared with pregnancies after abdominal myomectomy, were similar.(p=0.494) In this study, there
was the rate of Cesarean delivery above 80 percent in both group. There were no differences in newborn
weights and Apgar scores.
- Full text:2017-181(3)-20-24.pdf
