Uterine Artery Embolization for the Treatment of Adenomyosis: A Systematic Review and Meta-Analysis

被引：87

作者：

de Bruijn, Annefleur M. ^{[1
]}

Smink, Marieke ^{[2
]}

Lohle, Paul N. M. ^{[3
]}

Huirne, Judith A. F. ^{[1
]}

Twisk, Jos W. R. ^{[1
]}

Wong, Caroline ^{[4
]}

Schoonmade, Linda ^{[4
]}

Hehenkamp, Wouter J. K. ^{[1
]}

机构：

[1] Vrije Univ Amsterdam Med Ctr, Dept Gynecol, Boelelaan 1117, NL-1081 HV Amsterdam, Netherlands

[2] Elisabeth Tweesteden ziekenhuis, Dept Gynecol, Tilburg, Netherlands

[3] Elisabeth Tweesteden ziekenhuis, Dept Radiol, Tilburg, Netherlands

[4] Vrije Univ Amsterdam, Amsterdam, Netherlands

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2017年 / 28卷 / 12期

关键词：

QUALITY-OF-LIFE; SYMPTOMATIC ADENOMYOSIS; RISK-FACTORS; FOLLOW-UP; UFS-QOL; FIBROIDS; UTERUS; MICROSPHERES; MRI;

D O I：

10.1016/j.jvir.2017.07.034

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：

The effect of uterine artery embolization (UAE) on symptomatic adenomyosis was evaluated in a systematic review and meta-analysis. Four groups were evaluated: short-term (< 12 months) pure adenomyosis, short-term adenomyosis with fibroids (combined adenomyosis), long-term (> 12 months) pure adenomyosis, and long-term combined adenomyosis. Improvement of symptoms occurred in 83.1% (872/1,049) of patients. Reported symptom reduction was 4.8% greater in the short-term combined group (P =.169) and 11.4% greater in the long-term combined group (P =.003). Uterine volume was reduced in all patients at 3 months. The effects of UAE on symptom improvement and uterine volume reduction in patients with adenomyosis are encouraging.

引用

页码：1629 / 1642

页数：14

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