ACR Appropriateness Criteria® on Treatment of Uterine Leiomyomas

被引：8

作者：

Burke, Charles T. ^{[1
]}

Funaki, Brian S. ^{[2
]}

Ray, Charles E., Jr. ^{[3
,4
]}

Kinney, Thomas B. ^{[5
]}

Kostelic, Jon K. ^{[6
]}

Loesberg, Andrew ^{[7
]}

Lorenz, Jonathan M. ^{[8
]}

Millward, Steven F. ^{[9
]}

Nemcek, Albert A., Jr. ^{[10
]}

Owens, Charles A. ^{[11
]}

Shaw, Howard ^{[12
,13
]}

Silberzweig, James E. ^{[14
]}

Vatakencherry, George ^{[15
]}

机构：

[1] Univ N Carolina Hosp, Chapel Hill, NC USA

[2] Univ Chicago, Chicago, IL 60637 USA

[3] Univ Colorado Denver, Aurora, CO USA

[4] Hlth Sci Ctr, Aurora, CO USA

[5] Univ Calif San Diego, Med Ctr, San Diego, CA 92103 USA

[6] Cent Kentucky Radiol, Lexington, KY USA

[7] Brems Imaging Ctr, Clinton, NJ USA

[8] Univ Chicago Hosp, Chicago, IL 60637 USA

[9] Univ Western Ontario, London, ON, Canada

[10] NW Mem Hosp, Chicago, IL 60611 USA

[11] Univ Illinois, Coll Med, Chicago, IL USA

[12] Univ Connecticut, Sch Med, Hartford, CT 06112 USA

[13] Amer Coll Obstetricians & Gynecologists, Washington, DC 20024 USA

[14] St Lukes Roosevelt Hosp, New York, NY USA

[15] Kaiser Permanente, Los Angeles Med Ctr, Los Angeles, CA USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2011年 / 8卷 / 04期

关键词：

Appropriateness Criteria (R); uterine fibroids; uterine leiomyoma; uterine artery embolization; hysterectomy; myomectomy; ARTERY EMBOLIZATION; FIBROID EMBOLIZATION; SYMPTOMATIC FIBROIDS; PREGNANCY OUTCOMES; FOCUSED ULTRASOUND; CLINICAL-OUTCOMES; RECURRENCE RATE; FOLLOW-UP; TERM; HYSTERECTOMY;

D O I：

10.1016/j.jacr.2010.12.020

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Uterine leiomyomas (fibroids) are the most common tumors in women of reproductive age and a cause of significant morbidity in this patient population. Depending on the fibroid location, they can be the cause of a variety of symptoms, such as abnormal uterine bleeding, constipation, urinary frequency, and pain. Historically, hysterectomy has been the primary treatment option, and uterine fibroids remain the leading cause for hysterectomy in the United States. However, women who do not wish to undergo hysterectomy now have a variety of less invasive options available, including uterine artery embolization. This article discusses uterine artery embolization as well as some of the other treatment strategies for symptomatic uterine fibroids. In many situations, there may be no single best treatment option but several viable alternatives. Each option is discussed with consideration of outcomes, complications, and, when possible, cost-effectiveness. The recommendations in this article are the result of evidence-based consensus of the ACR Appropriateness Criteria (R) Expert Panel on Interventional Radiology.

引用

页码：228 / 234

页数：7

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[1] Patient care and uterine artery embolization for leiomyomata [J].