Marret H, Tranquart F, Sauget S, Alonso A M, Cottier J-P, Herbreteau D
Departments of Gynecology, Obstetrics, Fetal Medicine and Human Reproduction, Bretonneau Hospital, CHU Tours, France.
Ultrasound Obstet Gynecol. 2004 Jan;23(1):77-9. doi: 10.1002/uog.944.
Uterine artery embolization (UAE) is a successful and safe treatment for symptomatic leiomyomas. However, rare complications such as premature menopause and uterine necrosis can arise because of embolization of non-target tissues. We studied the feasibility of using contrast-enhanced sonography with intravenous SonoVue just before, during and after complete occlusion of both uterine arteries. In a patient with multiple, large, symptomatic leiomyomas, contrast-enhanced imaging established that the UAE was technically successful and that myometrial vascularity was not reduced. Our case suggests that ultrasound contrast agents may have a role in monitoring UAE and thus may help prevent ischemic complications. Further studies are required to confirm this.
子宫动脉栓塞术（UAE）是治疗有症状子宫肌瘤的一种成功且安全的方法。然而，由于非靶组织的栓塞，可能会出现诸如过早绝经和子宫坏死等罕见并发症。我们研究了在双侧子宫动脉完全闭塞之前、期间和之后使用静脉注射声诺维进行超声造影的可行性。在一名患有多发性、大型、有症状子宫肌瘤的患者中，超声造影成像证实UAE在技术上是成功的，且子宫肌层血管并未减少。我们的病例表明，超声造影剂可能在监测UAE中发挥作用，从而有助于预防缺血性并发症。需要进一步研究来证实这一点。
