Müller-Hülsbeck S
Abt. Diagnostische und interventionelle Radiologie/Neuroradiologie, Ev.-Luth. Diakonissenanstalt zu Flensburg, Medizinischer Klinikverbund Flensburg, Akademisches Lehrkrankenhaus des Universitätsklinikums Schleswig-Holstein, Flensburg.
Radiologe. 2008 Jul;48(7):660-5. doi: 10.1007/s00117-008-1675-0.
Fibroids (leiomyoma) are the most frequent benign tumors of the uterus during female reproductive age. In the case of clinical symptoms, uterine artery embolization (UAE) is a well established treatment option for symptomatic fibroids, resulting in promising long-term results. In order to estimate long-term success after UAE, reduction of fibroids and uterus volume is less important than complete improvement and disappearance of fibroid-related symptoms. In addition to a high technical success rate and a low perioperative complication rate, UAE results in high short-term and long-term patient satisfaction (>87%) and improvement of symptoms (>81%). Candidates for UAE should be informed about potential reinterventions in terms of repeated UAE (up to 18% of cases) or surgical treatment options.
子宫肌瘤(平滑肌瘤)是女性生殖年龄期间子宫最常见的良性肿瘤。对于出现临床症状的情况,子宫动脉栓塞术(UAE)是治疗有症状子宫肌瘤的一种成熟治疗选择,可产生良好的长期效果。为了评估UAE后的长期成功率,肌瘤和子宫体积的缩小不如肌瘤相关症状的完全改善和消失重要。除了技术成功率高和围手术期并发症率低之外,UAE还能带来较高的短期和长期患者满意度(>87%)以及症状改善(>81%)。UAE的候选者应了解重复UAE(高达18%的病例)或手术治疗选择等潜在再次干预措施。