Department of Obstetrics and Gynecology, Fong-Yuan Hospital, Taichung, Taiwan.
Taiwan J Obstet Gynecol. 2012 Sep;51(3):331-5. doi: 10.1016/j.tjog.2012.07.002.
Uterine artery occlusion (UAO) is one of the minimally invasive procedures used to treat uterine fibroids. It has demonstrated the potential to reduce fibroid growth and related symptoms with few complications and adverse effects. Meanwhile, it may preserve the uterus and ovarian blood supply to allow pregnancy in women with symptomatic fibroids. Similarly, myomectomy is an alternative to hysterectomy in the treatment of symptomatic fibroids, especially for patients who want to maintain fertility. However, only few articles have focused on fertility and pregnancy outcomes after the combined procedures of UAO and myomectomy. We reviewed the effects of UAO with or without myomectomy on fertility and pregnancy outcomes by searching the MEDLINE biomedicine database, using uterine artery occlusion, myomectomy and pregnancy as key words. In conclusion, conception and term pregnancy were possible after these procedures, but evidence on whether risks of abortion and preterm birth have been increasing simultaneously remains inconclusive. Therefore, good counseling on benefits and risks of pregnancy outcomes before performing these procedures is mandatory.
子宫动脉阻断术（UAO）是治疗子宫肌瘤的一种微创方法。它具有减少肌瘤生长和相关症状的潜力，同时并发症和不良反应较少。此外，它还可以保留子宫和卵巢的血液供应，使有症状的子宫肌瘤患者能够怀孕。同样，子宫肌瘤切除术是治疗有症状的子宫肌瘤的一种替代子宫切除术的方法，特别是对于那些希望保持生育能力的患者。然而，只有少数文章关注 UAO 联合子宫肌瘤切除术对生育和妊娠结局的影响。我们通过在 MEDLINE 生物医学数据库中搜索关键词“子宫动脉阻断术”、“子宫肌瘤切除术”和“妊娠”，来评估 UAO 联合或不联合子宫肌瘤切除术对生育和妊娠结局的影响。总之，这些手术后可以怀孕并足月分娩，但关于流产和早产风险是否同时增加的证据尚无定论。因此，在进行这些手术之前，必须对妊娠结局的益处和风险进行充分的咨询。
