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子宫动脉栓塞术治疗有症状子宫肌瘤:文献综述与病例报告

Uterine artery embolization as a treatment for symptomatic uterine fibroids: a review of literature and case report.

作者信息

Seals Judy Gainey, Jones Paul A, Wolfe Cheryl

机构信息

Jones Endovascular Institute, and Mercy Hospital and Medical Center, Chicago, IL 60616, USA.

出版信息

J Am Acad Nurse Pract. 2006 Aug;18(8):361-7. doi: 10.1111/j.1745-7599.2006.00138.x.

DOI:10.1111/j.1745-7599.2006.00138.x
PMID:16907697
Abstract

PURPOSE

To provide a case presentation and review of the literature on uterine artery embolization (UAE) as a treatment alternative for symptomatic uterine fibroids and to guide the nurse practitioner (NP) in patient selection, education, and periprocedural management of patients undergoing this procedure.

DATA SOURCES

Research articles, clinical articles, and case studies pertaining to UAE.

CONCLUSIONS

UAE is a safe, well tolerated, and effective nonsurgical treatment option for symptomatic uterine fibroids. This uterus-sparing procedure has low complication rates with excellent clinical outcomes and high patient satisfaction rates. The majority of women who undergo UAE report marked reduction in the severity of fibroid specific symptoms and significant improvement in their quality of life. Uterine fibroids are common in women and often produce symptoms that have a negative impact on quality of life.

IMPLICATIONS FOR PRACTICE

The NP is instrumental in identifying which patients may be appropriate candidates for UAE, educating them about the risks and benefits of the procedure, and managing these patients before and after the procedure.

摘要

目的

提供一例病例报告并回顾关于子宫动脉栓塞术(UAE)作为有症状子宫肌瘤治疗选择的文献,以指导执业护士在接受该手术患者的选择、教育及围手术期管理方面的工作。

资料来源

与UAE相关的研究文章、临床文章及病例研究。

结论

UAE是一种安全、耐受性良好且有效的有症状子宫肌瘤非手术治疗选择。这种保留子宫的手术并发症发生率低,临床效果良好,患者满意度高。大多数接受UAE的女性报告肌瘤特异性症状严重程度显著降低,生活质量有显著改善。子宫肌瘤在女性中很常见,常产生对生活质量有负面影响的症状。

对实践的启示

执业护士在确定哪些患者可能是UAE的合适人选、就该手术的风险和益处对他们进行教育以及在手术前后管理这些患者方面发挥着重要作用。

相似文献

1
Uterine artery embolization as a treatment for symptomatic uterine fibroids: a review of literature and case report.子宫动脉栓塞术治疗有症状子宫肌瘤:文献综述与病例报告
J Am Acad Nurse Pract. 2006 Aug;18(8):361-7. doi: 10.1111/j.1745-7599.2006.00138.x.
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Uterine artery embolization as a treatment option for uterine myomas.子宫动脉栓塞术作为子宫肌瘤的一种治疗选择。
Obstet Gynecol Clin North Am. 2006 Mar;33(1):125-44. doi: 10.1016/j.ogc.2005.12.009.
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[Treatment of uterine fibromyoma with bilateral uterine artery embolization: state of the art].[双侧子宫动脉栓塞术治疗子宫平滑肌瘤:最新进展]
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Fibroid volume, location and symptoms in women undergoing uterine artery embolization: does size or position matter?接受子宫动脉栓塞术的女性的肌瘤体积、位置与症状:大小或位置重要吗?
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Uterine artery embolization in 101 cases of uterine fibroids: do size, location, and number of fibroids affect therapeutic success and complications?101例子宫肌瘤的子宫动脉栓塞术:肌瘤的大小、位置和数量是否会影响治疗效果及并发症?
Cardiovasc Intervent Radiol. 2008 May-Jun;31(3):521-6. doi: 10.1007/s00270-007-9288-y. Epub 2008 Jan 25.
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Mid-term clinical results and patient satisfaction after uterine artery embolization in women with symptomatic uterine fibroids.有症状子宫肌瘤女性子宫动脉栓塞术后的中期临床结果及患者满意度
Cardiovasc Intervent Radiol. 2006 Mar-Apr;29(2):188-91. doi: 10.1007/s00270-005-0066-4.
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Uterine fibroids: primary treatment with therapeutic embolization.子宫肌瘤:经导管动脉栓塞术为主的治疗
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Non-surgical management of uterine fibroids.子宫肌瘤的非手术治疗
Hum Reprod Update. 2008 May-Jun;14(3):259-74. doi: 10.1093/humupd/dmn006. Epub 2008 Mar 14.
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Team approach with gynecologists taking the lead role in selecting patients for uterine artery embolization.采用团队协作方式,由妇科医生在选择子宫动脉栓塞术患者方面发挥主导作用。
W V Med J. 2004 Sep-Oct;100(5):182-4.
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Percutaneous uterine artery embolization for the treatment of symptomatic fibroids: current status.经皮子宫动脉栓塞术治疗有症状子宫肌瘤的现状
Eur J Radiol. 2005 Apr;54(1):136-47. doi: 10.1016/j.ejrad.2004.04.006.

引用本文的文献

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Analysis on clinical effects of dilation and curettage guided by ultrasonography versus hysteroscopy after uterine artery embolization in the treatment of cesarean scar pregnancy.超声引导下刮宫术与宫腔镜检查在子宫动脉栓塞术后治疗剖宫产瘢痕妊娠的临床效果分析
Ther Clin Risk Manag. 2019 Jan 7;15:83-89. doi: 10.2147/TCRM.S184387. eCollection 2019.
2
Successful magnetic resonance imaging-guided focused ultrasound surgery for recurrent uterine fibroid previously treated with uterine artery embolization.成功进行磁共振成像引导下聚焦超声手术治疗先前接受子宫动脉栓塞术治疗的复发性子宫肌瘤。
Obstet Gynecol Int. 2010;2010. doi: 10.1155/2010/351273. Epub 2010 Aug 16.