Department of Diagnostic and Interventional Radiology, St. Francis Hospital, Evanston, Illinois 60202, USA.
J Vasc Interv Radiol. 2013 Jul;24(7):925-30. doi: 10.1016/j.jvir.2013.03.014. Epub 2013 May 20.
A systematic review of literature analyzing fertility following uterine artery embolization (UAE) is presented. Twenty-one studies describing pregnancy and complications of pregnancy following UAE were included. Low-level evidence from these studies suggests that pregnancy rates following UAE are comparable to the age-adjusted rates in the general population. Although pregnancy complication rates were similar to those in patients with untreated fibroid tumors, a few studies have reported higher miscarriage rates following UAE. Further randomized controlled trials comparing UAE versus other fertility-preserving treatments are necessary to confirm these findings.
本文对分析子宫动脉栓塞术（UAE）后生育情况的文献进行了系统回顾。纳入了 21 项描述 UAE 后妊娠和妊娠并发症的研究。这些研究的低水平证据表明，UAE 后的妊娠率与一般人群的年龄调整率相当。尽管妊娠并发症的发生率与未治疗的子宫肌瘤患者相似，但有几项研究报告 UAE 后流产率较高。需要进一步的随机对照试验比较 UAE 与其他保留生育力的治疗方法，以证实这些发现。
