Mijailovic M Z, Lukic S M, Jankovic S M, Surlan-Popvic K
Department of Interventional Radiology, Clinical Center Kragujevac, Kragujevac, Serbia.
J BUON. 2010 Oct-Dec;15(4):704-7.
the aim of this study was to analyze outcomes in a series of patients with symptomatic uterine fibroids who had undergone endovascular arterial embolization.
analysis included 36 patients with uterine fibroids and average age of 38.5 years, with bilateral endovascular embolization of fibroid-feeding arteries. Solitary uterine fibroids were present in 20 (56%) patients, and multiple in 16 (44%) patients. The patients were followed up to one year after embolization.
in the subgroup of patients with solitary uterine fibroids, 6 months after the embolization, the volume of uterine fibroids was reduced to 50% in 16 patients, and to 38% in 4 patients. After one year, the volume of uterine fibroids was reduced to 50% in all 36 patients. In the subgroup of patients with multiple uterine fibroids, 6 months after the embolization, the volume of uterine fibroids was reduced to 50% in 10 patients, and to 36% in 6 patients. After one year, the volume of uterine fibroids was reduced to 50% in 14 patients, while in 2 patients the reduction of the volume remained 36%. After one year, all patients became symptomless.
the results of this case series show high efficacy of endovascular embolization of uterine fibroids: with a minimally invasive treatment, the volume of uterine fibroids is halved and symptoms disappear, obviating the need for a surgical intervention.
本研究旨在分析一系列有症状子宫肌瘤患者接受血管内动脉栓塞术后的结果。
分析包括36例子宫肌瘤患者，平均年龄38.5岁，对子宫肌瘤供血动脉进行双侧血管内栓塞。20例（56%）患者为单发子宫肌瘤，16例（44%）患者为多发子宫肌瘤。对患者进行栓塞术后长达一年的随访。
在单发子宫肌瘤患者亚组中，栓塞术后6个月，16例患者子宫肌瘤体积缩小至50%，4例患者缩小至38%。一年后，所有36例患者子宫肌瘤体积均缩小至50%。在多发子宫肌瘤患者亚组中，栓塞术后6个月，10例患者子宫肌瘤体积缩小至50%，6例患者缩小至36%。一年后，14例患者子宫肌瘤体积缩小至50%，2例患者体积缩小仍为36%。一年后，所有患者症状消失。
该病例系列结果显示子宫肌瘤血管内栓塞术疗效显著：通过微创治疗，子宫肌瘤体积减半且症状消失，无需进行手术干预。
