Jacob D, Rafii A
Service de gynécologie-obstétrique, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France.
Gynecol Obstet Fertil. 2004 Nov;32(11):927-36. doi: 10.1016/j.gyobfe.2004.09.009.
Embolization of uterine arteries for fibroids is a modern minimally invasive method for treatment of uterine fibroids. Results from published data show a substantial short-term uterine reduction, an improvement in menorrhagias, and a reduction in fibroid related pain. Hospital stay and recovery are shortened compared with hysterectomy. One randomised comparative trial EAU vs hysterectomy has showed a reduction in hospital stay length and in the rate of major complications, but an increased rate of minor complications. Pregnancies and uneventful deliveries have been reported after uterine arteries embolization. Rare but severe complications have been described. Embolization of uterine arteries can be considered as a safe alternative to hysterectomy or myomectomy in selected cases. It cannot be a routine method for treating fibroids with women of childbearing age.
子宫肌瘤的子宫动脉栓塞术是一种治疗子宫肌瘤的现代微创方法。已发表的数据结果显示，短期内子宫体积显著缩小，月经过多症状改善，肌瘤相关疼痛减轻。与子宫切除术相比，住院时间和恢复时间缩短。一项比较子宫动脉栓塞术与子宫切除术的随机对照试验表明，住院时间和主要并发症发生率降低，但轻微并发症发生率增加。有报道称子宫动脉栓塞术后有妊娠及顺利分娩的情况。也描述了一些罕见但严重的并发症。在某些特定病例中，子宫动脉栓塞术可被视为子宫切除术或肌瘤切除术的安全替代方法。对于育龄期女性，它不能作为治疗子宫肌瘤的常规方法。
