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子宫肌瘤栓塞术

Uterine fibroid embolization.

作者信息

White Amy M, Spies James B

机构信息

Department of Radiology, Georgetown University Hospital, Washington, DC 20007-2113, USA.

出版信息

Tech Vasc Interv Radiol. 2006 Mar;9(1):2-6. doi: 10.1053/j.tvir.2006.08.002.

DOI:10.1053/j.tvir.2006.08.002
PMID:17145478
Abstract

Uterine fibroid embolization (UFE) is a minimally invasive therapy for the treatment of symptomatic uterine fibroids and offers an alternative to conventional myomectomy and hysterectomy. This review focuses on recent publications evaluating UFE and concludes that it is a safe treatment option, providing substantial improvement in both health-related quality of life and symptom control for most patients, with a very low rate of major complications. The durability of these outcomes appears similar to those obtained with myomectomy; however, a direct comparative long-term study is needed. Recent comparative studies have begun to provide more insight in to UFE outcomes compared with outcomes achieved with myomectomy and hysterectomy. UFE should be considered a first line therapy for women with symptomatic uterine fibroids. Additional research will continue to provide us with information as to the ideal candidates for UFE and may provide us with better tools to predict patient outcomes.

摘要

子宫纤维瘤栓塞术(UFE)是一种用于治疗有症状子宫纤维瘤的微创疗法,为传统子宫肌瘤切除术和子宫切除术提供了一种替代方案。本综述聚焦于近期评估UFE的出版物,并得出结论:它是一种安全的治疗选择,能使大多数患者的健康相关生活质量和症状控制得到显著改善,且严重并发症发生率极低。这些结果的持久性似乎与子宫肌瘤切除术相似;然而,需要进行直接的长期对比研究。与子宫肌瘤切除术和子宫切除术的结果相比,近期的对比研究已开始更深入地揭示UFE的疗效。对于有症状子宫纤维瘤的女性,UFE应被视为一线治疗方法。更多研究将继续为我们提供关于UFE理想候选者的信息,并可能为我们提供更好的工具来预测患者的治疗结果。

相似文献

1
Uterine fibroid embolization.子宫肌瘤栓塞术
Tech Vasc Interv Radiol. 2006 Mar;9(1):2-6. doi: 10.1053/j.tvir.2006.08.002.
2
[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]
Minerva Ginecol. 2007 Aug;59(4):427-39.
3
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.
4
[Quality control and quality of life after uterine fibroid embolization: long-term results].[子宫肌瘤栓塞术后的质量控制与生活质量:长期结果]
Gynakol Geburtshilfliche Rundsch. 2008;48(2):84-93. doi: 10.1159/000118936. Epub 2008 Apr 16.
5
Cost and reimbursement for three fibroid treatments: abdominal hysterectomy, abdominal myomectomy, and uterine fibroid embolization.三种子宫肌瘤治疗方法的成本与报销情况:腹式子宫切除术、腹式肌瘤切除术和子宫纤维瘤栓塞术。
Cardiovasc Intervent Radiol. 2007 Jan-Feb;30(1):54-8. doi: 10.1007/s00270-005-0369-5.
6
Uterine fibroid embolization: CME update for family physicians.子宫肌瘤栓塞术:家庭医生继续医学教育更新内容
Can Fam Physician. 2007 Feb;53(2):250-6.
7
SOGC clinical practice guidelines. Uterine fibroid embolization (UFE). Number 150, October 2004.加拿大妇产科医师协会临床实践指南。子宫肌瘤栓塞术(UFE)。2004年10月第150号。
Int J Gynaecol Obstet. 2005 Jun;89(3):305-18. doi: 10.1016/j.ijgo.2005.03.013.
8
Pregnancy outcomes following treatment for fibroids: uterine fibroid embolization versus laparoscopic myomectomy.子宫肌瘤治疗后的妊娠结局:子宫动脉栓塞术与腹腔镜子宫肌瘤切除术对比
Curr Opin Obstet Gynecol. 2006 Aug;18(4):402-6. doi: 10.1097/01.gco.0000233934.13684.cb.
9
[Embolization of uterine arteries for uterine fibroids: state-of-the-art].[子宫肌瘤的子宫动脉栓塞术:最新进展]
Gynecol Obstet Fertil. 2004 Nov;32(11):927-36. doi: 10.1016/j.gyobfe.2004.09.009.
10
The FIBROID Registry: symptom and quality-of-life status 1 year after therapy.子宫肌瘤登记处:治疗1年后的症状及生活质量状况
Obstet Gynecol. 2005 Dec;106(6):1309-18. doi: 10.1097/01.AOG.0000188386.53878.49.

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