Uterine Artery Embolization for the Treatment of Symptomatic Uterine Fibroids of Different Sizes: A Single Center Experience

被引：10

作者：

Cappelli, Alberta ^{[1
]}

Mosconi, Cristina ^{[1
]}

Cocozza, Maria Adriana ^{[1
]}

Brandi, Nicolo ^{[1
]}

Bartalena, Laura ^{[1
]}

Modestino, Francesco ^{[1
]}

Galaverni, Maria Cristina ^{[1
]}

Vara, Giulio ^{[1
]}

Paccapelo, Alexandro ^{[1
]}

Pizzoli, Gloria ^{[2
]}

Villa, Gioia ^{[2
]}

Seracchioli, Renato ^{[2
,3
]}

Renzulli, Matteo ^{[1
]}

机构：

[1] Univ Bologna, Dept Radiol, IRCCS Azienda Osped, Via Albertoni 15, I-40138 Bologna, Italy

[2] Univ Bologna, Div Gynaecol & Human Reprod Physiopathol, IRCCS Azienda Osped, I-40138 Bologna, Italy

[3] Univ Bologna, Dept Med & Surg Sci DIMEC, I-40138 Bologna, Italy

来源：

JOURNAL OF PERSONALIZED MEDICINE | 2023年 / 13卷 / 06期

关键词：

uterine arterial embolization; uterine myoma; hysterectomy; endovascular embolization; endovascular therapy; interventional radiology; MAGNETIC-RESONANCE; LEIOMYOMA SIZE; MANAGEMENT; HYSTERECTOMY; PREGNANCY; OUTCOMES; VASCULARIZATION; CLASSIFICATION; COMPLICATIONS; MYOMECTOMY;

D O I：

10.3390/jpm13060906

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The present study aimed to evaluate the clinical and radiological 1-year outcomes of uterine artery embolization (UAE) performed in a selected population of women with symptomatic myomas and who do not wish to conceive. Between January 2004 and January 2018, a total of 62 patients with pre-menopausal status and with no wish to conceive in the future underwent UAE for the treatment of symptomatic fibroids. All the patients underwent magnetic resonance imaging (MRI) and/or transvaginal ultrasonography (TV-US) before and after the procedure at 1-year follow-up. Clinical and radiological parameters were recorded, stratifying the population into 3 groups according to the size of the dominant myoma (group 1: 80 mm). Mean fibroid diameter was significantly reduced (42.6% & PLUSMN; 21.6%) at 1-year follow-up, with excellent improvements in terms of both symptoms and quality of life. No significant difference was observed regarding baseline dimension and the number of myomas. No major complications were reported (2.5%). The present study confirms the safety and efficacy of UAE in the treatment of symptomatic fibroids in pre-menopausal women with no desire to conceive.

引用

页数：16