Ghai Sangeet, Rajan Dheeraj K, Benjamin Matthew S, Asch Murray R, Ghai Sandeep
Division of Vascular and Interventional Radiology, Department of Medical Imaging, Toronto General Hospital, University Health Network-Mount Sinai Hospital, University of Toronto, 585 University Ave, NCSB 1C-553, Toronto, Ontario, Canada M5G 2N2.
Radiographics. 2005 Sep-Oct;25(5):1159-72; discussion 1173-6. doi: 10.1148/rg.255045019.
Transabdominal and transvaginal ultrasonography (US) are commonly used to assess the uterus and pelvis prior to and following uterine artery embolization (UAE) for symptomatic leiomyomas (fibroids). Preprocedural US may help identify relative contraindications for UAE, whereas postprocedural US can help determine the quality and quantity of fibroid involution and help identify any complications associated with the procedure. The consulting radiologist should be familiar with certain typical postprocedural US findings, which might otherwise be improperly interpreted, leading to unnecessary intervention. Magnetic resonance (MR) imaging or computed tomography will frequently provide the most accurate information in UAE patients with certain pathologic conditions, and early study results suggest that MR imaging may be helpful in predicting treatment response. Nevertheless, US is a readily available first-line imaging modality and a well-accepted method for both pre- and postprocedural evaluation of patients who undergo UAE. A proper understanding of the US findings in this patient population allows objective determination of treatment response and detection of most of the commonly recognized complications that are associated with UAE.
经腹超声和经阴道超声（US）常用于有症状子宫肌瘤患者子宫动脉栓塞术（UAE）前后的子宫和盆腔评估。术前超声有助于识别UAE的相对禁忌证，而术后超声有助于确定肌瘤缩小的质量和数量，并有助于识别与该手术相关的任何并发症。会诊放射科医生应熟悉某些典型的术后超声表现，否则可能会被错误解读，导致不必要的干预。对于患有某些病理状况的UAE患者，磁共振（MR）成像或计算机断层扫描通常能提供最准确的信息，早期研究结果表明MR成像可能有助于预测治疗反应。尽管如此，超声是一种易于获得的一线成像方式，也是UAE患者术前和术后评估中广泛接受的方法。正确理解该患者群体的超声表现有助于客观判断治疗反应，并检测出大多数与UAE相关的常见并发症。
